Elizabeth Mardakhayeva
Dentist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1962070524
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1962070524
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Mardakhayeva
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 062783-01 | NY | Yes |
Practice location
1 Brookdale PlzBrooklyn, NY 11212-3139
Phone 718-240-5000
Mailing address
1 Brookdale PlzBrooklyn, NY 11212-3139
Phone 718-240-5000
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