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NPI Code Detail

MEDICARE: DR. KYLE JOSHUA SEVEL

MEDICARE: DR. KYLE JOSHUA SEVEL
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry064070NY

General Provider Information

NPI Number : 1437732021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYLE JOSHUA SEVEL
Provider Business Mailing Address
First Line : 3767 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3505
Country : US
Telephone Number : 718-966-2720
Fax Number :
Provider Business Practice Location Address
First Line : 3767 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10308-3505
Country : US
Telephone Number : 718-966-2720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2021
Last Update Date : 09/05/2024

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Directions to “ DR. KYLE JOSHUA SEVEL ” Practice Location

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