Minkova, Irina
Minkova, Irina is an individual health care provider with primary practice located at 4701 Queens Blvd # 202, Long Island City NY 11104-1600. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Minkova, Irina can be contacted via phone (718) 706-1717.Contact Information
Primary practice address
4701 Queens Blvd # 202
Long Island City NY 11104-1600
Phone: (718) 706-1717
Fax: (718) 706-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 050734-1 | New York |
Profile Details
| NPI number | 1821100611 |
|---|---|
| LBN Legal business name | Minkova, Irina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821100611 | NPPES |
| New York | MEDICAID | 02442684 |
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