Provider Demographics
NPI:1316136161
Name:DZENIS ORTHOPAEDICS, M.D., P.C.
Entity type:Organization
Organization Name:DZENIS ORTHOPAEDICS, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PETERIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:DZENIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-463-9220
Mailing Address - Street 1:5510 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5050
Mailing Address - Country:US
Mailing Address - Phone:718-463-9220
Mailing Address - Fax:718-463-9214
Practice Address - Street 1:5510 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5050
Practice Address - Country:US
Practice Address - Phone:718-463-9220
Practice Address - Fax:718-463-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154791174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA60885Medicare UPIN