Provider Demographics
NPI:1508271321
Name:SIRGANY, LORRAINE ANNE (DMD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:ANNE
Last Name:SIRGANY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 HEMPSTEAD TURNPIKE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1315
Mailing Address - Country:US
Mailing Address - Phone:516-731-0200
Mailing Address - Fax:516-731-0203
Practice Address - Street 1:3601 HEMPSTEAD TURNPIKE
Practice Address - Street 2:SUITE 125
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1315
Practice Address - Country:US
Practice Address - Phone:516-731-0200
Practice Address - Fax:516-731-0203
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045589-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice