Individual
DR. IRINA REYZELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1212 AVENUE OF THE AMERICAS, SUITE 400, NEW YORK, NY 10036-1602
(212) 719-2920
Mailing address
1212 AVENUE OF THE AMERICAS, SUITE 400, NEW YORK, NY 10036-1602
(212) 719-2920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049041
NY
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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