Dr Konstantine Kiselev, DDS - Dentist in Staten Island, NY

Dr Konstantine Kiselev, DDS is a Dentist - General Practice based in Staten Island, New York. Dr Konstantine Kiselev is licensed to practice in New York (license number 052113) and his current practice location is 42 Giffords Ln, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (718) 554-4299.

NPI number for Dr Konstantine Kiselev is 1285846899 and his current mailing address is 42 Giffords Ln, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285846899.

Contact Information

Dr Konstantine Kiselev, DDS
42 Giffords Ln,
Staten Island, NY 10308-2014
(718) 554-4299
(718) 273-0226

Map and Direction




Healthcare Provider's Profile

Full NameDr Konstantine Kiselev
GenderMale
SpecialityDentist - General Practice
Location42 Giffords Ln, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285846899
  • Provider Enumeration Date: 05/04/2007
  • Last Update Date: 06/11/2019

Medical Identifiers

Medical identifiers for Dr Konstantine Kiselev such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285846899NPI-NPPES
1285846899OtherNYTIN
02751513MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 052113 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Konstantine Kiselev is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Konstantine Kiselev, DDS
42 Giffords Ln,
Staten Island, NY 10308-2014

Ph: (718) 554-4299
Dr Konstantine Kiselev, DDS
42 Giffords Ln,
Staten Island, NY 10308-2014

Ph: (718) 554-4299

Reviews and Comments


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