| Avdeychik Corp. | |
|
1810 Jerome Ave. 1st. Floor Brooklyn NY 11235 | |
| (718) 646-0900 | |
| (718) 769-9723 |
| Full Name | Avdeychik Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1810 Jerome Ave., Brooklyn, New York |
| Authorized Official Name and Position | Tatyana Avdeychik (DENTIST) |
| Authorized Official Contact | 7186460900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avdeychik Corp. 1810 Jerome Ave. 1st. Floor Brooklyn NY 11235 Ph: (718) 646-0900 | Avdeychik Corp. 1810 Jerome Ave. 1st. Floor Brooklyn NY 11235 Ph: (718) 646-0900 |
| NPI Number | 1225455116 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225455116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044239 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 044215 (New York) | Primary |
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