Individual
DR. ALEXANDER KHABENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1615 QUENTIN RD STE A1, BROOKLYN, NY 11229-1295
(718) 339-8852
(718) 339-9514
Mailing address
2426 E 27TH ST, BROOKLYN, NY 11235-2004
(718) 891-5622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676815
—
NY
Enumeration date
01/31/2007
Last updated
07/08/2007
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