Provider Demographics
NPI:1770668121
Name:PINKHASON, SEVIL (DDS)
Entity type:Individual
Prefix:
First Name:SEVIL
Middle Name:
Last Name:PINKHASON
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 1:1214 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2912
Mailing Address - Country:US
Mailing Address - Phone:718-258-8222
Mailing Address - Fax:718-258-4458
Practice Address - Street 1:1214 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2912
Practice Address - Country:US
Practice Address - Phone:718-258-8222
Practice Address - Fax:718-258-4458
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist