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NPI Code Detail

MEDICARE: TAL LEBEL DMD PLLC

MEDICARE: TAL LEBEL DMD PLLC
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
1122300000XDentist053595NY

General Provider Information

NPI Number : 1851690481
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAL LEBEL DMD PLLC
Provider Business Mailing Address
First Line : 1912 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3911
Country : US
Telephone Number : 718-648-3434
Fax Number : 718-648-1515
Provider Business Practice Location Address
First Line : 1912 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3911
Country : US
Telephone Number : 718-648-3434
Fax Number : 718-648-1515
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. TAL LEBEL
Credential : D.M.D
Telephone Number : 718-648-3434
Provider Enumeration Date : 03/22/2011
Last Update Date : 03/22/2011

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