Individual
MS. IRINA MINKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1810 JEROME AVE FL 2, BROOKLYN, NY 11235-3621
(646) 387-8717
(718) 975-1075
Mailing address
3429 GUIDER AVE, 201, BROOKLYN, NY 11235-5206
(646) 387-8717
(718) 975-1075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050734-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02442684
—
NY
Enumeration date
08/31/2006
Last updated
11/21/2024
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