Provider Demographics
NPI:1881762359
Name:CHOVEV, TOLLY ABRAHAM (DDS)
Entity type:Individual
Prefix:DR
First Name:TOLLY
Middle Name:ABRAHAM
Last Name:CHOVEV
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 1:522 SEAGIRT BLVD
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5635
Mailing Address - Country:US
Mailing Address - Phone:516-220-3710
Mailing Address - Fax:718-471-5848
Practice Address - Street 1:311 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3735
Practice Address - Country:US
Practice Address - Phone:718-387-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038854-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist