Provider Demographics
NPI:1740499631
Name:SIPKIN, JENNIFER ELLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ELLEN
Last Name:SIPKIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:ELLEN
Other - Last Name:SAVITSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:79 WORTH ST
Mailing Address - Street 2:2R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3425
Mailing Address - Country:US
Mailing Address - Phone:917-887-2892
Mailing Address - Fax:
Practice Address - Street 1:248 W 23RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2304
Practice Address - Country:US
Practice Address - Phone:212-242-3241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0532061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics