Yablonovich, Gerardo

Yablonovich, Gerardo is an individual health care provider with primary practice located at 1559 49Th St , Brooklyn NY 11219-3212. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Yablonovich, Gerardo can be contacted via phone (718) 436-7750.

Contact Information

Primary practice address
1559 49Th St Brooklyn NY 11219-3212
Phone: (718) 436-7750
Fax: (718) 851-8557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 038296 New York

Profile Details

NPI number 1356477293
LBN Legal business name Yablonovich, Gerardo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356477293 NPPES
New York MEDICAID 00876031

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