Provider Demographics
NPI:1366702417
Name:CHAYEVSKY, BELLA (DDS)
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:CHAYEVSKY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MADISON AVENUE
Mailing Address - Street 2:SUITE 2308
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5429
Mailing Address - Country:US
Mailing Address - Phone:212-889-8907
Mailing Address - Fax:718-494-7253
Practice Address - Street 1:515 MADISON AVENUE
Practice Address - Street 2:SUITE 2308
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5429
Practice Address - Country:US
Practice Address - Phone:212-889-8907
Practice Address - Fax:718-494-7253
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY#043256122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist