MEDICARE: DMITRY KHAYTMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0490651	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538216270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DMITRY KHAYTMAN

Provider Business Mailing Address
First Line	:	587 KINGS HWY STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2023
Country	:	US
Telephone Number	:	718-400-1717
Fax Number	:	718-421-9364

Provider Business Practice Location Address
First Line	:	587 KINGS HWY STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2023
Country	:	US
Telephone Number	:	718-400-1717
Fax Number	:	718-421-9364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	04/09/2026

Similar Medicare Providers

1053179101 — RAFINA BAKHARAMOVA
Practice Location Address:

2023 W 7TH ST
BROOKLYN, NY
11223-3730

Practice Phone: 347-909-6279
Practice Fax:

1275505430 — ANNA GRINKO M.D.
Practice Location Address:

1665 BEDFORD AVE
BROOKLYN, NY
11225-2023

Practice Phone: 718-756-4000
Practice Fax: 718-756-4003

1083743421 — MR. ALEXANDER ZHURAVSKY
Practice Location Address:

2606 AVENUE Z # 2B
BROOKLYN, NY
11235-2023

Practice Phone: 917-613-0417
Practice Fax:

1265600969 — LYUBOMYRA KOLESNYK
Practice Location Address:

30 5TH AVE
BROOKLYN, NY
11217-2023

Practice Phone: 718-622-2020
Practice Fax:

1063683076 — PHOEBE MALVAL NP
Practice Location Address:

440 LENOX RD , APT 6R
BROOKLYN, NY
11203-2023

Practice Phone: 347-529-0009
Practice Fax:

1184868077 — MS. PAULINE T PETERS OTR/L
Practice Location Address:

2023 BEDFORD AVE , APT.C4
BROOKLYN, NY
11226-1468

Practice Phone: 718-469-0169
Practice Fax: 718-469-0169

Directions to “ DMITRY KHAYTMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.