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NPI Code Detail

MEDICARE: DR. STANLEY PINKUS DDS

MEDICARE: DR. STANLEY PINKUS DDS
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
11223G0001XGeneral Practice Dentistry4621NV
21223G0001XGeneral Practice Dentistry047191NY

General Provider Information

NPI Number : 1659475986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY PINKUS DDS
Provider Business Mailing Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-421-1717
Fax Number :
Provider Business Practice Location Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-421-1717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2006
Last Update Date : 04/14/2011

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Directions to “ DR. STANLEY PINKUS DDS” Practice Location

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