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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1821100611 NPPES
New York MEDICAID 02442684

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