Maxim Alexander Podolsky in Rego Park - Periodontics
Maxim Alexander Podolsky - NPI 1619180650
Maxim Alexander Podolsky is a Periodontics in Rego Park, New York. Maxim Alexander Podolsky practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Maxim Alexander Podolsky is 1619180650. The last update date is 2007-07-08.
Maxim Alexander Podolsky's current location address is 9801 67th Ave, Rego Park, New York. You can contact this provider via phone number 9172045189. The mailing address for Maxim Alexander Podolsky is 9801 67th Ave, Rego Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxim Alexander Podolsky |
|---|---|
| Address | 9801 67th Ave, Rego Park, New York |
| Phone Number | 9172045189 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1619180650 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9801 67th Ave |
|---|---|
| City | Rego Park |
| State | New York (NY) |
| Post Code | 113744967 |
| Phone Number | 9172045189 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 51773 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to Maxim Alexander Podolsky by the Centers for Medicare & Medicaid Services?
The Maxim Alexander Podolsky has been issued the NPI (National Provider Identifier) 1619180650. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Maxim Alexander Podolsky is physically located?
The Maxim Alexander Podolsky is situated at the following address: 9801 67Th Ave, Rego Park, NY 113744967.
What is Maxim Alexander Podolsky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maxim Alexander Podolsky's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did Maxim Alexander Podolsky receive its 1619180650 assignment from the Centers for Medicare & Medicaid Services?
The Maxim Alexander Podolsky was assigned its 1619180650 on 2007-05-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Maxim Alexander Podolsky last refreshed?
The information related to the Maxim Alexander Podolsky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.