Provider Demographics
NPI:1275150211
Name:CITY KIDS DENTISTRY PC
Entity Type:Organization
Organization Name:CITY KIDS DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROIZIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-533-8033
Mailing Address - Street 1:131 NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2305
Mailing Address - Country:US
Mailing Address - Phone:646-533-8033
Mailing Address - Fax:
Practice Address - Street 1:2281 82ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2603
Practice Address - Country:US
Practice Address - Phone:646-533-8033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty