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NPI Code Detail

MEDICARE: VALENTIN BAKMAN

MEDICARE: VALENTIN BAKMAN
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
1122300000XDentist0466662NY

Other Identifiers

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

General Provider Information

NPI Number : 1780862078
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENTIN BAKMAN
Provider Business Mailing Address
First Line : 1505 GRAVESEND NECK RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4428
Country : US
Telephone Number : 718-336-6321
Fax Number : 718-627-2129
Provider Business Practice Location Address
First Line : 1505 GRAVESEND NECK RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4428
Country : US
Telephone Number : 718-336-6321
Fax Number : 718-627-2129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2008
Last Update Date : 03/01/2026

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