- Practice location
- 575 Fulton St, 2ND Floor, Brooklyn, NY 11201-5309
- Phone
- 718-596-5378
- Fax
- —
- Last updated
- June 2, 2010
Andrey Ivanov is a Dentist, General Practice based in Brooklyn, NY. Andrey Ivanov practices in Brooklyn, NY and has the professional credentials of DDS. The NPI Number for Andrey Ivanov is 1578883419 and holds a License No. 049734 (NY). The current practice location address for Andrey Ivanov is 575 Fulton St, 2ND Floor, Brooklyn, NY 11201-5309 and can be reached out via phone at 718-596-5378.
Provider Profile Details
- NPI Number
- 1578883419
- Provider Name
- Andrey Ivanov
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 575 Fulton St, 2ND Floor, Brooklyn, NY 11201-5309
- Phone Number
- 718-596-5378
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2010
- Last Update Date
- June 2, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 575 Fulton St
2ND Floor
Brooklyn, NY 11201-5309 - City
- Brooklyn
- State
- New York
- Zip
- 11201-5309
- Phone Number
- 718-596-5378
Provider Business Mailing Address Details
- Address
- 803 Plaza Dr
Woodbridge, NJ 07095-1114 - City
- Woodbridge
- State
- NJ
- Zip
- 07095-1114
- Phone Number
- 732-636-7624
License Information
- License Number
- 049734
- License State
- NY
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Andrey Ivanov, DDS?
The NPI number of Dr. Andrey Ivanov, DDS is 1578883419. It was assigned on June 2, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrey Ivanov, DDS?
Dr. Andrey Ivanov, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 049734.
Where does Dr. Andrey Ivanov, DDS practice?
The practice location is 575 Fulton St, 2ND Floor, Brooklyn, NY 11201-5309. The office can be reached at 718-596-5378 (phone).
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 1578883419 directly on the NPPES registry website.