Domantovsky, Irina

Domantovsky, Irina is an sole proprietor health care provider with primary practice located at 590 5Th Ave Fl 11 , New York NY 10036-4748. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Domantovsky, Irina can be contacted via phone (917) 387-7834.

Contact Information

Primary practice address
590 5Th Ave Fl 11 New York NY 10036-4748
Phone: (917) 387-7834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 300353 New York
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 300353 New York

Profile Details

NPI number 1316268303
LBN Legal business name Domantovsky, Irina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2010
Last updated Dec 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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