Healthcare Provider Details

I. General information

NPI: 1932019304
Provider Name (Legal Business Name): ABRAM MOSHEYEV DENTAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 NORMAN AVE
BROOKLYN NY
11222-6231
US

IV. Provider business mailing address

108 NORMAN AVE
BROOKLYN NY
11222-6231
US

V. Phone/Fax

Practice location:
  • Phone: 718-389-9595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABRAM MOSHEYEV
Title or Position: DENTIST
Credential: DDS
Phone: 718-389-9595