Provider Demographics
NPI:1306046289
Name:DR GINSBURG & DR YURCHENKO
Entity type:Organization
Organization Name:DR GINSBURG & DR YURCHENKO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-867-8466
Mailing Address - Street 1:2280 GRAND AV
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510
Mailing Address - Country:US
Mailing Address - Phone:516-867-8466
Mailing Address - Fax:516-867-8042
Practice Address - Street 1:2280 GRAND AV
Practice Address - Street 2:SUITE 209
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510
Practice Address - Country:US
Practice Address - Phone:516-867-8466
Practice Address - Fax:516-867-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044219122300000X
NY041672122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty