Provider Demographics
NPI:1942281795
Name:TREYBICH, ARKADY (DDS)
Entity Type:Individual
Prefix:MR
First Name:ARKADY
Middle Name:
Last Name:TREYBICH
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 1:2469 65TH ST
Mailing Address - Street 2:#M5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4170
Mailing Address - Country:US
Mailing Address - Phone:718-339-6168
Mailing Address - Fax:718-339-6412
Practice Address - Street 1:2469 65TH ST
Practice Address - Street 2:#M5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4170
Practice Address - Country:US
Practice Address - Phone:718-339-6168
Practice Address - Fax:718-339-6412
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01371168Medicaid