IndividualActive
Alan Pernikoff, DDS
NPI 1396165684 · Periodontics · Brooklyn, NY
Provider details
- NPI number
- 1396165684
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 058230 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1174 E 24th St
Brooklyn, NY 11210
Phone: (718) 986-7302
Approximate (ZIP-level) locationGet directions
Mailing address
1174 E 24th St
Brooklyn, NY 11210-4507
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2018-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.