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NPI Code Detail

MEDICARE: DR. MZIA KRIKHELY D.D.S.

MEDICARE:  DR. MZIA  KRIKHELY  D.D.S.
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
11223G0001XGeneral Practice Dentistry041646NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891928040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MZIA KRIKHELY D.D.S.
Provider Business Mailing Address
First Line : 11117A QUEENS BLVD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-5553
Country : US
Telephone Number : 718-544-2424
Fax Number : 718-544-2428
Provider Business Practice Location Address
First Line : 11117A QUEENS BLVD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-5553
Country : US
Telephone Number : 718-544-2424
Fax Number : 718-544-2428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 09/03/2009

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