Active NPIIndividual provider

Dr. Svetlana Ponomareva, DDS

Dentist in Ny, New York

NPI Number1093796963
Practice location
3627 Brodway, Ny, NY 10031
Fax
212-234-2301
Last updated
March 1, 2016

Svetlana Ponomareva is a Dentist based in Ny, NY. Svetlana Ponomareva practices in Ny, NY and has the professional credentials of DDS. The NPI Number for Svetlana Ponomareva is 1093796963 and holds a License No. 049663 (NY). The current practice location address for Svetlana Ponomareva is 3627 Brodway, Ny, NY 10031 and can be reached out via phone at 212-234-2300 and via fax at 212-234-2301.

Provider Profile Details

NPI Number
1093796963
Provider Name
Svetlana Ponomareva
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
3627 Brodway, Ny, NY 10031
Phone Number
212-234-2300
Fax Number
212-234-2301
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2005
Last Update Date
March 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
3627 Brodway
Ny, NY 10031
City
Ny
Zip
10031
Phone Number
212-234-2300
Fax Number
212-234-2301
Ny, NY 10031Get directions →

Provider Business Mailing Address Details

Address
3627 Brodway
Ny, NY 10031
City
Ny
State
NY
Zip
10031
Phone Number
212-234-2300
Fax Number
212-234-2301

License Information

License Number
049663
License State
NY
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Svetlana Ponomareva, DDS?

The NPI number of Dr. Svetlana Ponomareva, DDS is 1093796963. It was assigned on November 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Svetlana Ponomareva, DDS?

Dr. Svetlana Ponomareva, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 049663.

Where does Dr. Svetlana Ponomareva, DDS practice?

The practice location is 3627 Brodway, Ny, NY 10031. The office can be reached at 212-234-2300 (phone) or 212-234-2301 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093796963 directly on the NPPES registry website.

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