Provider Demographics
NPI:1306935671
Name:BABUSHKIN, HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:BABUSHKIN
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 1:525 W END AVE
Mailing Address - Street 2:1 G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3207
Mailing Address - Country:US
Mailing Address - Phone:212-874-2880
Mailing Address - Fax:212-875-8852
Practice Address - Street 1:525 W END AVE
Practice Address - Street 2:1 G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3207
Practice Address - Country:US
Practice Address - Phone:212-874-2880
Practice Address - Fax:212-875-8852
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist