Provider Demographics
NPI:1497861546
Name:LEZHANSKY, VALENTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:VALENTIN
Middle Name:
Last Name:LEZHANSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 OCEAN AVE
Mailing Address - Street 2:#LN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-615-2272
Mailing Address - Fax:718-615-0957
Practice Address - Street 1:3060 OCEAN AVE
Practice Address - Street 2:#LN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-615-2272
Practice Address - Fax:718-615-0957
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038006122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00804408Medicaid