Organization
DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENY AVDEYCHIK DDS (DENTIST)
(718) 646-0900
Entity
Organization
Contact information
Practice address
1810 JEROME AVE FL 1, BROOKLYN, NY 11235-3621
(718) 646-0900
(718) 769-9723
Mailing address
1810 JEROME AVE FL 1, BROOKLYN, NY 11235-3621
(718) 646-0900
(718) 769-9723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354269
—
NY
Enumeration date
02/02/2016
Last updated
02/02/2016
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