MEDICARE: SEVIL PINKHASON DDS

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
1	122300000X	Dentist	047422	NY

General Provider Information

NPI Number	:	1770668121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEVIL PINKHASON DDS

Provider Business Mailing Address
First Line	:	1214 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2912
Country	:	US
Telephone Number	:	718-258-8222
Fax Number	:	718-258-4458

Provider Business Practice Location Address
First Line	:	1214 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2912
Country	:	US
Telephone Number	:	718-258-8222
Fax Number	:	718-258-4458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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Directions to “ SEVIL PINKHASON DDS” Practice Location

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