Dr. Iosif Gregory Shyknevsky, D.D.S
Dentist, General Practice in Brooklyn, NY. Individual provider (NPI-1).
NPI number1245366152
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245366152
- Entity type
- Individual (NPI-1)
- Name
- Dr. Iosif Gregory Shyknevsky
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 047193 | NY | Yes |
Other names
- Joseph Gregory Shyknevsky (Professional Name)
Practice location
2523 Ocean AveBrooklyn, NY 11229-3915
Phone 718-934-0470 · Fax 718-339-0466
Mailing address
2523 Ocean AveBrooklyn, NY 11229-3915
Phone 718-934-0470 · Fax 718-339-0466
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