Kipnis, Marina

Kipnis, Marina is an individual health care provider with primary practice located at 2110 Bath Avenue , Brooklyn NY 11214-4908. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kipnis, Marina can be contacted via phone (718) 265-5525.

Contact Information

Primary practice address
2110 Bath Avenue Brooklyn NY 11214-4908
Phone: (718) 265-5525
Fax: (718) 265-1800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 042510 New York
Dental Providers / General Practice 1223G0001X 042510-1 New York

Profile Details

NPI number 1982693230
LBN Legal business name Kipnis, Marina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 22nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982693230 NPPES
New York MEDICAID 01161311

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