Provider Demographics
NPI:1609040286
Name:KRYZMAN, YAEL (DDS)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:KRYZMAN
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 1:135 COUNTY RD
Mailing Address - Street 2:STE 2
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2201
Mailing Address - Country:US
Mailing Address - Phone:201-568-9811
Mailing Address - Fax:201-568-5494
Practice Address - Street 1:35 PANGBORN PL
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4506
Practice Address - Country:US
Practice Address - Phone:201-488-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02398000122300000X
NY054034-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist