Leonid Itskov, DDS is a
Dentist based in Teaneak, New Jersey. Leonid Itskov is licensed to practice in New Jersey (license number 22DI02179000) and his current practice location is
100 State Str, Teaneak, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 837-3000.
NPI number for Leonid Itskov is 1306921788 and his current mailing address is 146 Grove Str, Bergenfield, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306921788.
Healthcare Provider's Profile
| Full Name | Leonid Itskov |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 100 State Str, Teaneak, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306921788
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Leonid Itskov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306921788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22DI02179000 (New Jersey) | 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. Leonid Itskov 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 Address | Practice Location Address |
|---|
Leonid Itskov, DDS
146 Grove Str,
Bergenfield, NJ 07621
Ph: (718) 208-9646 | Leonid Itskov, DDS
100 State Str,
Teaneak, NJ 07666
Ph: (201) 837-3000 |
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