Provider Demographics
NPI:1861936148
Name:SVETLANA YAMPOLSKY DDS P.C.
Entity type:Organization
Organization Name:SVETLANA YAMPOLSKY DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMPOLSKY DDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-564-6686
Mailing Address - Street 1:19 WEST 34TH ST SUITE 1201
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:212-564-6686
Mailing Address - Fax:212-564-0345
Practice Address - Street 1:19 WEST 34TH STREET SUITE 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-564-6686
Practice Address - Fax:212-564-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty