Individual
INNA BUDIYANSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1208 FLATBUSH AVE, BROOKLYN, NY 11226-7005
(718) 282-8066
(718) 282-8003
Mailing address
1208 FLATBUSH AVE, BROOKLYN, NY 11226-7005
(718) 282-8066
(718) 282-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052425
NY
122300000X
Dentist
22DI02323600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712316
—
NY
Enumeration date
12/25/2007
Last updated
12/25/2007
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