Individual
MARINA PINKHASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
98-120 QUEENS BLVD, SUITE 1LM, REGO PARK, NY 11374
(718) 897-3434
(718) 997-0342
Mailing address
98-120 QUEENS BLVD, SUITE 1LM, REGO PARK, NY 11374
(718) 897-3434
(718) 997-0342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0458341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01597575
—
NY
Enumeration date
05/16/2007
Last updated
07/08/2007
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