Healthcare Provider Details

I. General information

NPI: 1194864967
Provider Name (Legal Business Name): MICHAEL BERNFELD D.D.S YAKOV KURILENKO D.D.S P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15636 CROSSBAY BLVD STE A
HOWARD BEACH NY
11414-2700
US

IV. Provider business mailing address

15636 CROSSBAY BLVD STE A
HOWARD BEACH NY
11414-2700
US

V. Phone/Fax

Practice location:
  • Phone: 718-323-5132
  • Fax: 718-323-4803
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number048874-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number030118
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number049375-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number046470-1
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number050693-1
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number030118-1
License Number StateNY

VIII. Authorized Official

Name: DR. MICHAEL BERNFELD
Title or Position: PRESIDENT
Credential:
Phone: 718-323-5132