Whalio Doctors

NPI 1023008786

Anzhela Tkachuk, DDS

Practitioner General Practice Dentistry Staten Island, NY

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
Dental Providers Taxonomy 1223G0001X Licence 050679 (NY)

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.