Provider Demographics
NPI:1376749705
Name:SINENSKY, IRINA
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:SINENSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W 16TH ST
Mailing Address - Street 2:APT 5MN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6328
Mailing Address - Country:US
Mailing Address - Phone:212-691-3243
Mailing Address - Fax:
Practice Address - Street 1:402 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4206
Practice Address - Country:US
Practice Address - Phone:718-834-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0540371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice