Provider Demographics
NPI:1306826813
Name:CINSKI, GREG BERNARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:BERNARD
Last Name:CINSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MAIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-1623
Mailing Address - Country:US
Mailing Address - Phone:631-981-5600
Mailing Address - Fax:631-981-5637
Practice Address - Street 1:900 MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-1623
Practice Address - Country:US
Practice Address - Phone:631-981-5600
Practice Address - Fax:631-981-5637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0447261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice