Provider Demographics
NPI:1003022997
Name:KRAYEVSKY, YANINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YANINA
Middle Name:
Last Name:KRAYEVSKY
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 1:710 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3834
Mailing Address - Country:US
Mailing Address - Phone:516-897-4944
Mailing Address - Fax:
Practice Address - Street 1:56 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3463
Practice Address - Country:US
Practice Address - Phone:516-378-7222
Practice Address - Fax:516-867-7292
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0495221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice