Dr Irina Domantovsky, MD | |
590 5th Ave Fl 11, New York, NY 10036-4748 | |
(917) 387-7834 | |
Not Available |
Full Name | Dr Irina Domantovsky |
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Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 590 5th Ave Fl 11, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316268303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | 300353 (New York) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 300353 (New York) | Primary |
Entity Name | Bangor Plastic And Hand Surgery, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902987506 PECOS PAC ID: 6901878974 Enrollment ID: O20040810000896 |
Mailing Address | Practice Location Address |
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Dr Irina Domantovsky, MD Po Box 220424, Great Neck, NY 11022-0424 Ph: (917) 387-7834 | Dr Irina Domantovsky, MD 590 5th Ave Fl 11, New York, NY 10036-4748 Ph: (917) 387-7834 |
Dr. Akili Hinson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-5454 | |
Sunny D Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 161 Fort Washington Ave Fl 10, New York, NY 10032 Phone: 212-342-5164 | |
Dr. Luis Gabriel Rivera Sanchez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 325 W 15th St, New York, NY 10011 Phone: 212-604-6000 Fax: 212-367-1718 | |
Dr. Megan Elizabeth Jenkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-7300 | |
Karen Hiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 E 34th St, 4th Floor, New York, NY 10016 Phone: 212-731-5180 | |
Jeffrey W Milsom, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 York Ave, 2nd Floor, New York, NY 10021 Phone: 212-746-6030 | |
Dr. Lael E Forbes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9 E 62nd St Ofc 1r, New York, NY 10065 Phone: 212-837-8911 |