Nina Sakhnovskaya, D.D.S.

Individual provider Active NPI General Practice Dentistry · Fonda, NY

NPI 1750307351 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750307351
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
048554 (NY)
Practice address
2623 State Highway 30a
Fonda, NY 12068-5961
Phone
(518) 853-1400
Fax
(518) 853-1399
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
048554NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048554 NY Yes

Addresses

Primary practice location

2623 State Highway 30a
Fonda, NY 12068-5961

Mailing address

2623 State Highway 30a
Fonda, NY 12068-5961
Phone (518) 853-1400

Other providers in Fonda, NY

All providers in Fonda, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.