Provider Demographics
NPI:1407442874
Name:CYRIL IRINI SERVICES CORP
Entity Type:Organization
Organization Name:CYRIL IRINI SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MAGED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENOUDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-757-7937
Mailing Address - Street 1:231 KELLY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6008
Mailing Address - Country:US
Mailing Address - Phone:718-757-7937
Mailing Address - Fax:
Practice Address - Street 1:1025 ARMSTRONG AVE STE 1
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-1259
Practice Address - Country:US
Practice Address - Phone:929-458-3848
Practice Address - Fax:929-458-3849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty