Provider Demographics
NPI:1376585067
Name:SINENSKY, GARY B (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:B
Last Name:SINENSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 GUY PARK AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-1059
Mailing Address - Country:US
Mailing Address - Phone:518-843-1240
Mailing Address - Fax:518-842-2935
Practice Address - Street 1:427 GUY PARK AVE STE 201
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-843-1240
Practice Address - Fax:518-842-2935
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81818207RG0100X
KYTP824207RG0100X
MI4301510330207RG0100X
NY139083207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04055643Medicaid
223429607OtherEIN
440618Medicare ID - Type Unspecified
NJ0292508Medicaid