| Benjamin V Katayev Dds Pc | |
|
1401 Dekruif Place Bronx NY 10475-2201 | |
| (718) 379-1700 | |
| (718) 379-8921 |
| Full Name | Benjamin V Katayev Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 Dekruif Place, Bronx, New York |
| Authorized Official Name and Position | Benjamin V Katayev (OWNER) |
| Authorized Official Contact | 7183791700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin V Katayev Dds Pc 1401 Dekruip Place Bronx NY 10475-2201 Ph: (718) 379-1700 | Benjamin V Katayev Dds Pc 1401 Dekruif Place Bronx NY 10475-2201 Ph: (718) 379-1700 |
| NPI Number | 1669535217 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669535217 | NPI | - | NPPES |
| 01896900 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0477111 (New York) | Primary |
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