DR. MAXIM ALEXANDER PODOLSKY (NPI# 1619180650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619180650 |
| Entity Type | Individual |
| Full Name | DR. MAXIM ALEXANDER PODOLSKY |
| Credential | D.M.D. |
| Practice Address |
2272 Hendrickson St Brooklyn NY 11234-5131 |
| Mailing Address |
9801 67th Ave #14v Rego Park NY 11374-4967 |
| Practice Telephone | 7182533333 |
| Mailing Telephone | 9172045189 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
051773 | NY | Dental Providers |
| Street Address |
2272 HENDRICKSON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508024365 | Michael B. Gluskin | Dentist | 2272 Hendrickson St, Brooklyn, NY 11234-5131 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1073030540 | Rebecca Goldman | Dentist | 1743 E 29th St, Brooklyn, NY 11229-2516 | 2017-08-25 |
| 1982095337 | Cinzia Dinoi | Dentist | 255 Eastern Pkwy Apt C9, Brooklyn, NY 11238-6365 | 2015-02-06 |
| 1295907913 | Brilliant Dental & Associates, PC | Dentist | 820 Flatbush Avenue, Brooklyn, NY 11226 | 2008-04-02 |
| 1265617237 | Georgia Kougentakis | Dentist | 2420 National Dr, Brooklyn, NY 11234-6836 | 2008-01-08 |
| 1194923763 | Jay Rubin | Dentist | 6010 New Utrecht Ave, Brooklyn, NY 11219-5041 | 2007-07-05 |
| 1487865572 | Valentina Pechevaya | Dentist | 270 Ave P Dr Valentina Peachway, Brooklyn, NY 11204 | 2007-05-24 |
| 1245359066 | Konstantinos G Pavlakos | Dentist | 416 Bay Ridge Pkwy, Brooklyn, NY 11209-2702 | 2007-03-29 |
| 1750423257 | Kenneth Marcus | Dentist | 1750 Ocean Parkway, Suite 1a, Brooklyn, NY 11223 | 2007-02-12 |
| 1891832432 | Cherry Elaine Libramonte | Dentist | 1590 E 19th St, Brooklyn, NY 11230-7204 | 2007-01-31 |
| Find all providers in BROOKLYN | ||||
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| 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.