Edouard Etlis is a General Practice in Brooklyn, New York. Edouard Etlis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edouard Etlis is 1013937416. The last update date is 2007-07-08.
Edouard Etlis's current location address is 3030 Ocean Ave, Brooklyn, New York. You can contact this provider via phone number 7187695379 and fax number 7187692365. The mailing address for Edouard Etlis is 3030 Ocean Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edouard Etlis |
|---|---|
| Address | 3030 Ocean Ave, Brooklyn, New York |
| Phone Number | 7187695379 |
| Fax Number | 7187692365 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013937416 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3030 Ocean Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112353363 |
| Phone Number | 7187695379 |
| Fax Number | 7187692365 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 47627 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1855843 | NY | -- |
Post Comment/ Review Below
What is the Edouard Etlis's unique identification number?
The Edouard Etlis has been assigned the NPI (National Provider Identifier) Number 1013937416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Edouard Etlis's facilities are geographically located?
The facilities of Edouard Etlis are physically situated at the following location: 3030 Ocean Ave, Brooklyn, NY, 112353363.
What is Edouard Etlis's area of expertise and its corresponding taxonomy classification?
The Edouard Etlis's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1013937416 to Edouard Etlis?
The Edouard Etlis received its 1013937416 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the Edouard Etlis's information last updated?
The Edouard Etlis's information was last updated on 2007-07-08.