Provider Demographics
NPI:1922660513
Name:GULEREZ, IRINA ELENA (DMD)
Entity type:Individual
Prefix:DR
First Name:IRINA
Middle Name:ELENA
Last Name:GULEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 EAST AVE APT 1007
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14610-1632
Mailing Address - Country:US
Mailing Address - Phone:585-957-0981
Mailing Address - Fax:
Practice Address - Street 1:1000 TRANSIT WAY STE 200
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-3008
Practice Address - Country:US
Practice Address - Phone:585-636-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061224122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist