Irina Rybalova PC

NPI #1578841938 in Freeport, New York

Provider Information

NPI Number: 1578841938
Entity Type: Organization
Organization Name: Irina Rybalova PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 2, 2011
Last Updated: Aug 2, 2011

Practice Location

Address: 21 W MERRICK RD
Address 2: IRINA RYBALOVA DDS
City: Freeport
State: New York
ZIP Code: 11520
Phone: (516) 378-2843

Authorized Official

Name: MRS. IRINA RYBALOVA
Title: DDS
Phone: (516) 378-2843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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