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Organization

MARINA KIPNIS DDS. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARINA KIPNIS (DENTIST)
(718) 265-5525
Entity
Organization

Contact information

Practice address
2110 BATH AVE, BROOKLYN, NY 11214-4908
(718) 265-5525
(718) 265-1800
Mailing address
2110 BATH AVE, BROOKLYN, NY 11214-4908
(718) 265-5525
(718) 265-1800

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
042510
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01161311
NY
Enumeration date
09/03/2008
Last updated
09/03/2008
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