Dr. Ezro Fattakhov is a Forest Hills, New York based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ezro Fattakhov is 046846 for General Practice Dentistry in New York. His current practice location is 10510 62nd Rd, Apt 1f, Forest Hills. Patients can reach him at 718-760-8400.
Dr. Ezro Fattakhov is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ezro Fattakhov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ezro Fattakhov
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
10510 62nd Rd, Apt 1f, Forest Hills, New York, 11375-1137
Phone:
718-760-8400
Fax:
718-760-8114
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811046741
NPI Enumeration Date:
09 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ezro Fattakhov are as mentioned below.
License Number
Specialization
State
Status
046846
General Practice Dentistry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ezro Fattakhov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01773835
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9926 64th Rd, Rego Park, New York
Zip:
11374-2646
Phone Number:
718-830-9091
Patients can reach Dr. Ezro Fattakhov at 10510 62nd Rd, Apt 1f, Forest Hills, New York or can call to book an appointment on 718-760-8400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.