Provider Demographics
NPI:1740299908
Name:SINENSKY, RICHARD A (OD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:SINENSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1572 GARY ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2909
Mailing Address - Country:US
Mailing Address - Phone:516-292-6939
Mailing Address - Fax:516-292-6020
Practice Address - Street 1:126 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2146
Practice Address - Country:US
Practice Address - Phone:516-481-6640
Practice Address - Fax:516-481-7567
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003926152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00684648Medicaid
C30971Medicare ID - Type Unspecified
NYT81490Medicare UPIN