NPI 1023008786
Anzhela Tkachuk, DDS
Practice location
- Address
- 128 Sand Ln 1st Floor, Staten Island, NY 10305-4543
- Phone
- (718) 273-5006
- Fax
- (718) 273-2778
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023008786
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Oct 2005
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.