Individual
DR. ALEXANDER AYZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 368-3750
Mailing address
2809 LEN DR, BELLMORE, NY 11710-5203
(516) 679-0692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01284344
—
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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