Organization
DR. EUGENE BURBACKI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE BURBACKI DDS (OWNER)
(212) 426-8200
Entity
Organization
Contact information
Practice address
2127 1ST AVE, NEW YORK, NY 10029-3339
(212) 426-8200
(212) 426-6606
Mailing address
2127 1ST AVE, NEW YORK, NY 10029-3339
(212) 426-8200
(212) 426-6606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02713748
—
NY
Enumeration date
05/14/2007
Last updated
07/23/2007
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