Organization
WEILL CORNELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YANA KAPUSTINA DDS (RESIDENT GPY-1)
(917) 696-1497
Entity
Organization
Contact information
Practice address
1300 YORK AVE, NEW YORK, NY 10065-4805
(845) 926-4968
Mailing address
174 BAY 29TH ST, BROOKLYN, NY 11214-5020
(917) 696-1497
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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