MRS. NATALIA BLAZHKEVICH


Address: 1110 Pennsylvania Ave, Suite 3, Brooklyn, NY 11207-9061
Phone: 7186496677

MRS. NATALIA BLAZHKEVICH (NPI# 1184613416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184613416
Entity Type Individual
Full Name MRS. NATALIA BLAZHKEVICH
Credential DDS
Practice Address 1110 Pennsylvania Ave
Suite 3
Brooklyn
NY 11207-9061
Mailing Address 1805 215th St
Apt 11j
Bayside
NY 11360-2155
Practice Telephone 7186496677
Practice Fax Number 7182720291
Mailing Telephone 7186496677
Mailing Fax Number 7182720291
Enumeration Date 2005-10-19
Last Update Date 2013-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 048909 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02108574 05

Office Location

Street Address 1110 PENNSYLVANIA AVE
SUITE 3
City BROOKLYN
State NY
Zip Code 11207-9061

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376093674 Brookdale Rx Inc. Pharmacy 1110 Pennsylvania Ave, Brooklyn, NY 11207-9003 2016-10-11
1730638115 1110 Pennsylvania Avenue Medical Pllc Clinic/Center 1110 Pennsylvania Ave, Suite 5, Brooklyn, NY 11207-9003 2016-09-27
1154752236 Pala Community Care LLC Clinic/Center 1110 Pennsylvania Ave, Brooklyn, NY 11207-9003 2013-11-27
1154653293 Igor Vaysbaum Pharmacist 1110 Pennsylvania Ave, Suite #12, Brooklyn, NY 11207-9003 2010-01-30
1861724908 Julia Stein Pharmacist 1110 Pennsylvania Ave, Suite #12, Brooklyn, NY 11207-9003 2010-01-30
1558533414 Black Diamond Dental LLP Dentist 1110 Pennsylvania Ave, Suite 3, Brooklyn, NY 11207-9061 2008-03-31
1831231729 Central Optometry PC Optometrist 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061 2007-02-14
1609950872 Boris G Kogan Dentist 1110 Pennsylvania Ave, Suite#3, Brooklyn, NY 11207-9061 2006-10-24
1952349318 Marina Novikova Pediatrics 1110 Pennsylvania Ave, Brooklyn, NY 11207-9061 2006-06-04
1396792743 Alla Glusker Family Medicine 1110 Pennsylvania Ave, Brooklyn, NY 11207 2006-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356817142 Tajeet Singh Licensed Practical Nurse 174 East 51, Brooklyn, NY 11207 2018-10-18
1801306147 Ebony Herring Counselor 2640 Pitkin Avenue, Brooklyn, NY 11207 2017-09-30
1780106153 Ivonne Perry Registered Nurse 35 Mc Clancy Pl, Brooklyn, NY 11207 2017-07-07
1548700925 Special Medical PC Family Medicine 699 B Stanley Avenue, Brooklyn, NY 11207 2017-03-03
1003368333 Alison Deborah Kahler Social Worker 557 Pennsylvania Ave, Room 155, Icl School Based Program At Ps13, Brooklyn, NY 11207 2016-11-03
1942757836 Melissa Santana Counselor Bushwick Child and Family Mental Health Center, 102 Pilling Street, Brooklyn, NY 11207 2016-09-08
1871943050 Joan Murrell Licensed Practical Nurse 297 Bradford St, Brooklyn, NY 11207 2016-06-17
1386019321 Marta Josephine Jablonka I Peer Specialist 137 Dewitt Ave, Brooklyn, NY 11207 2015-12-02
1962877076 Uche Rosario Oboh Pharmacist Nyc Health & Hospitals Gotham Health Center, 2094 Pitkin Avenue, Brooklyn, NY 11207 2015-12-01
1467837997 Dhalene Wharton Licensed Practical Nurse 540 Shefield Ave, Brooklyn, NY 11207 2015-07-27
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306454475 Mighty Smiles LLC Dentist 837 59th St Fl 3, Brooklyn, NY 11220-3611 2020-07-15
1073131967 Oraleye, Inc. Dentist 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 2020-07-08
1760017842 New York University Dentist 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 2020-03-09
1215562491 Magnon Reyes Dds Pllc Dentist 2004 Mermaid Ave, Brooklyn, NY 11224-2595 2020-03-08
1093348088 Natalia Maglevannaya Dentist 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 2020-02-18
1558909465 Greene Ave Dental Pllc Dentist 335 Greene Ave, Brooklyn, NY 11238 2019-12-11
1093374548 David Zhukovsky Dentist 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 2019-06-09
1295390706 Leon Tuberman Dentist 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 2019-05-09
1740752732 Mark Paul Quinn I Dentist 1314 E 70th St, Brooklyn, NY 11234-5704 2019-01-02
1083109375 Zenab Khan Dentist 262 56th St Unit 3, Brooklyn, NY 11220-2615 2018-06-28
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Competitor

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City BROOKLYN
Zip Code 11207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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