Provider Demographics
NPI:1255472445
Name:KRZYWONOS, HALINA (DDS)
Entity Type:Individual
Prefix:
First Name:HALINA
Middle Name:
Last Name:KRZYWONOS
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 1:630 5TH AVE
Mailing Address - Street 2:1853-1854
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10111-0100
Mailing Address - Country:US
Mailing Address - Phone:212-541-4188
Mailing Address - Fax:212-541-6221
Practice Address - Street 1:630 5TH AVE
Practice Address - Street 2:1853-1854
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10111-0100
Practice Address - Country:US
Practice Address - Phone:212-541-4188
Practice Address - Fax:212-541-6221
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0462271223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics