Individual
DR. IRINA MAKSUMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9015 QUEENS BLVD, ELMHURST, NY 11373-4900
(718) 760-1616
(718) 760-1616
Mailing address
9015 QUEENS BLVD, ELMHURST, NY 11373-4900
(718) 760-1616
(718) 760-1616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0509870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025539820
—
NY
Enumeration date
08/04/2006
Last updated
02/26/2026
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