Individual
MR. BORIS LYAKHOVETSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1225 AVENUE R, BROOKLYN, NY 11229-1053
(718) 376-6707
(718) 376-6707
Mailing address
1225 AVENUE R, BROOKLYN, NY 11229-1053
(718) 376-6707
(718) 376-6707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458093
—
NY
Enumeration date
11/21/2005
Last updated
07/08/2007
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