| Dr Irina Domantovsky, MD | |
|
590 5th Ave Fl 11, New York, NY 10036-4748 | |
| (917) 387-7834 | |
| Not Available |
| Full Name | Dr Irina Domantovsky |
|---|---|
| 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 |
|---|---|---|---|
| 1316268303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 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. |
|---|---|
| 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 |
|---|---|
| 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 | |
Mirhee Kim, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1060 5th Ave # 1b, New York, NY 10128 Phone: 212-988-8269 | |
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 |