Ruben Fattakhov in Forest Hills - General Practice

Ruben Fattakhov - NPI 1821147372

Ruben Fattakhov is a General Practice in Forest Hills, New York. Ruben Fattakhov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ruben Fattakhov is 1821147372. The last update date is 2007-07-08.

Ruben Fattakhov's current location address is 105-10 62 Rd, Forest Hills, New York. You can contact this provider via phone number 7187608400 and fax number 7187608114. The mailing address for Ruben Fattakhov is 105-10 62 Rd, Forest Hills, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Ruben Fattakhov
Address 105-10 62 Rd, Forest Hills, New York
Phone Number 7187608400
Fax Number 7187608114
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1821147372
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 105-10 62 Rd
City Forest Hills
State New York (NY)
Post Code 11375
Phone Number 7187608400
Fax Number 7187608114

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46847
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1709737 NY --

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FAQs about Ruben Fattakhov

What is the unique identifier code issued to Ruben Fattakhov by the Centers for Medicare & Medicaid Services?

The Ruben Fattakhov has been assigned the NPI (National Provider Identifier) 1821147372. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ruben Fattakhov's facilities are situated?

The facilities of Ruben Fattakhov are physically located at the following address: 105-10 62 Rd, Forest Hills, NY, 11375.

What is the Ruben Fattakhov's specialty and taxonomy code?

The Ruben Fattakhov's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Ruben Fattakhov receive the assignment of its 1821147372 from the Centers for Medicare & Medicaid Services?

The Ruben Fattakhov was issued its 1821147372 by the Centers for Medicare & Medicaid Services on 2007-01-10.

As of what date was the information regarding Ruben Fattakhov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ruben Fattakhov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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