Individual
DR. GREGORY BANGIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 MARCUS AVE STE W90, NEW HYDE PARK, NY 11042-2045
(516) 354-4800
Mailing address
2001 MARCUS AVE, SUITE 90W, LAKE SUCCESS, NY 11042
(516) 354-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057315
NY
Other
Enumeration date
07/19/2014
Last updated
07/21/2022
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