Individual
ALLA ILINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1747 BAY RIDGE AVE, BROOKLYN, NY 11204-5016
(718) 331-3563
Mailing address
1747 BAY RIDGE AVE, BROOKLYN, NY 11204-5016
(718) 331-3563
(866) 590-9641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044220
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
044220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351115
—
NY
Enumeration date
02/06/2006
Last updated
11/30/2015
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