Provider Demographics
NPI:1720327554
Name:FELDBEIN, IRINA (DDS)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:FELDBEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133A W END AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4808
Mailing Address - Country:US
Mailing Address - Phone:718-743-5616
Mailing Address - Fax:718-743-5618
Practice Address - Street 1:133A W END AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4808
Practice Address - Country:US
Practice Address - Phone:718-743-5616
Practice Address - Fax:718-743-5618
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042312122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist