Individual
DR. DANIEL BARAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18506 69TH AVE, FRESH MEADOWS, NY 11365-3504
(718) 480-1991
Mailing address
18506 69TH AVE, FRESH MEADOWS, NY 11365-3504
(718) 480-1991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058660
NY
122300000X
Dentist
22DI02640000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04519908
—
NY
Enumeration date
04/30/2015
Last updated
07/21/2022
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