Individual
DR. IRINA YESINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 NOSTRAND AVENUE, BROOKLYN, NY 11216-3940
(718) 778-7600
(718) 778-7677
Mailing address
602 FLATBUSH AVE, C/O DENTAL OFFICE, BROOKLYN, NY 11225
(718) 778-7600
(718) 778-7677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02051009
—
NY
01
—
571158184
TAX I.D
NY
Enumeration date
07/08/2006
Last updated
03/22/2016
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