Individual
GENNADIY SIMONOVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AVENUE J, SUITE 4A, BROOKLYN, NY 11230-3669
(718) 513-3520
(718) 252-5070
Mailing address
1203 AVENUE J, SUITE 4A, BROOKLYN, NY 11230-3669
(718) 513-3520
(718) 252-5070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048396
NY
Other
Enumeration date
01/31/2007
Last updated
10/16/2013
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