Astoria Dental Town PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055027 Issued in NY

Legal business name

ASTORIA DENTAL TOWN PC

Practice address

3060 Steinway St FL 2
Astoria, NY 11103-3854

Phone

(718) 278-2141

NPI assigned

Jul 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yakov Fuzaylov, DDS

Title

President

Phone

(917) 202-0190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1891073029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 STEINWAY ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 STEINWAY ST FL 2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033854",
            "telephone_number": "718-278-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA DENTAL TOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "FUZAYLOV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-202-0190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astoria Dental Care PC
• Astoria Dental Group PC
• Astoria Dental LLC
• Astoria Dental PC
• Astoria Dental Studio, P.C.
• Astoria Dermatology P.C.
• Astoria Drugs Inc
• Astoria Express Pharmacy Inc
• Astoria Family Dental Care,P.C.
• Astoria Family Pharmacy, Inc.

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.