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General NPI Number Information
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NPI Number | 1700768058
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Entity Type | Organization
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Legal Business Name | FARADJEWA DENTAL NYC PLLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 14 E 60TH ST STE 905
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City | NEW YORK
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State | NY
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Zip | 10022-1006
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Country | US
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Telephone | 212-507-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 14 E 60TH ST STE 905
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City | NEW YORK
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State | NY
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Zip | 10022-1006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SVETLANA ORIT FARADJEWA
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Credential | DDS
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Telephone | 917-826-2560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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