Individual
MR. GRIGORIY A SVERDLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
348 FORT WASHINGTON AVE, NEW YORK, NY 10033
(212) 927-1117
(212) 927-0832
Mailing address
348 FORT WASHINGTON AVE, NEW YORK, NY 10033-6834
(516) 439-9290
(516) 439-9290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0475671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01823312
—
NY
01
—
9176433
DORAL
—
Enumeration date
12/02/2005
Last updated
08/03/2017
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