MEDICARE: IRINA SINENSKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	054037	NY

General Provider Information

NPI Number	:	1376749705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA SINENSKY

Provider Business Mailing Address
First Line	:	16 W 16TH ST
Second Line	:	APT 5MN
City	:	NEW YORK
State	:	NY
Zip	:	10011-6328
Country	:	US
Telephone Number	:	212-691-3243
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 COURT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231-4206
Country	:	US
Telephone Number	:	718-834-1446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	11/05/2008

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Directions to “ IRINA SINENSKY ” Practice Location

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