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Individual

LYUDMILA A SIRENKO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
139-12 84 DR, BRIARWOOD, NY 11435
(718) 739-4969
(718) 739-5041
Mailing address
139-12 84 DR, BRIARWOOD, NY 11435
(718) 739-4969
(718) 739-5041

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047220
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01773862
NY
Enumeration date
11/18/2005
Last updated
07/08/2007
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