Tabak, Yelena

Tabak, Yelena is an individual health care provider with primary practice located at 3130 Brighton 6Th St 1D, Brooklyn NY 11235-6954. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tabak, Yelena can be contacted via phone (718) 648-2067.

Contact Information

Primary practice address
3130 Brighton 6Th St 1D Brooklyn NY 11235-6954
Phone: (718) 648-2067
Fax: (718) 648-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 044955 New York

Profile Details

NPI number 1619966736
LBN Legal business name Tabak, Yelena
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619966736 NPPES
New York Other D001056 01 AMERICHOICE
New York MEDICAID 01437585 AMERICHOICE

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