Individual
DR. ARTEM KRUTYANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD MPH
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-4552
Mailing address
630 W 168TH ST RM 250, NEW YORK, NY 10032-3725
(212) 305-4552
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
064142-01
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
236
OK
208600000X
Surgery Physician
332158
NY
208600000X
Surgery Physician
40017
OK
Other
Enumeration date
04/18/2017
Last updated
04/16/2026
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