MRS. IRINA MAKSUMOVA


Address: 9015 Queens Blvd, Elmhurst, NY 11373-4900
Phone: 7187601616

MRS. IRINA MAKSUMOVA (NPI# 1740298744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740298744
Entity Type Individual
Full Name MRS. IRINA MAKSUMOVA
Credential DDS
Practice Address 9015 Queens Blvd
Elmhurst
NY 11373-4900
Practice Telephone 7187601616
Practice Fax Number 7187601616
Mailing Telephone 7187601616
Mailing Fax Number 7187601616
Enumeration Date 2006-08-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0509870 NY Dental Providers

Office Location

Street Address 9015 QUEENS BLVD
City ELMHURST
State NY
Zip Code 11373-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891776092 Alexander Mikhailov Dentist 9015 Queens Blvd, Elmhurst, NY 11373-4900 2005-11-07
1992261291 Ewz Optical Corp Eyewear Supplier (Equipment, not the service) 9015 Queens Blvd, Elmhurst, NY 11373-4900 2019-02-12
1649744988 Qc Optical LLC Eyewear Supplier (Equipment, not the service) 9015 Queens Blvd, Elmhurst, NY 11373-4900 2019-01-21
1225370844 Real Optical, LLC Eyewear Supplier (Equipment, not the service) 9015 Queens Blvd, Queens Center Mall, Elmhurst, NY 11373-4900 2013-03-21
1073885554 Eric C. Rubinfeld Optometrist 9015 Queens Blvd, Queens Center Mall, Elmhurst, NY 11373-4900 2012-01-31
1669750295 Lenore Susan Katz Optometrist 9015 Queens Blvd, Elmhurst, NY 11373-4900 2011-08-01
1619190915 Bora A. Yurter Optometrist 9015 Queens Blvd, Cohen's Fashion Optical #6, Elmhurst, NY 11373-4900 2007-04-11
1780739565 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 9015 Queens Blvd, Queens Ctr Ste #2111, Elmhurst, NY 11373-4900 2007-01-24
1790878114 Amos Chang Optometrist 9015 Queens Blvd, Suite # 2111, Elmhurst, NY 11373-4900 2006-09-30
1801993530 Latoya Callahan Dentist 9015 Queens Blvd, Apt 2f, Elmhurst, NY 11373-4900 2006-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152736 Carlos Eduardo Hallo Carrasco Student in an Organized Health Care Education/Training Program 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 2020-07-30
1912524034 Jurian Feygen Kaunang Student in an Organized Health Care Education/Training Program Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 2020-07-06
1407471352 Shreeya Parajull Student in an Organized Health Care Education/Training Program 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 2020-06-16
1114542479 Mahmud Omar Elfituri Student in an Organized Health Care Education/Training Program 79-01 Boradway, Elmhurst, NY 11373 2020-06-12
1568091452 Nudjarin Unsin Licensed Practical Nurse 7517 41stave, Apt.f3, Elmhurst, NY 11373 2020-04-03
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1821647926 Shahorin Monzoor Student in an Organized Health Care Education/Training Program 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 2019-09-11
1174184600 Zoila Josefina Cano Rodriguez Student in an Organized Health Care Education/Training Program 7802 41st Ave, Elmhurst, NY 11373 2019-06-25
1891355756 Kanghee Cho Registered Nurse 4143 77th St Elmhurst, Elmhurst, NY 11373 2019-06-13
1861971947 Allen G Luke Acupuncturist 86-21 53 Ave, Elmhurst, NY 11373 2018-08-09
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770121626 Kate H Lau Dentist 4225 80th St Ste La, Elmhurst, NY 11373-3022 2019-12-11
1164088860 Mowa LLC Dentist 9411 59th Ave Ste A5, Elmhurst, NY 11373-5158 2019-05-17
1073041240 Kyle Patrick Harmon Dentist 127 W Vallette St, Elmhurst, IL 60126 2017-05-31
1851839294 Emily C Bartell Dds Ltd Dentist 360 W Butterfield Rd Ste 180, Elmhurst, IL 60126-5099 2017-02-06
1932581246 Matthew I Kessman Dds PC Dentist 8604 Grand Ave Ste L2, Elmhurst, NY 11373-8803 2015-06-23
1871926626 Edward Chu Dentist 83-45 Broadway, Elmhurst, NY 11373 2013-08-15
1609119171 Wei Guo Dentist 8420 51st Ave, Apartment 2f, Elmhurst, NY 11373-5808 2013-04-02
1093099194 Oscar Trinidad Galang Dentist 4027 Gleane St, Elmhurst, NY 11373-1428 2011-10-06
1669752515 Flor D. Loya Dds Ltd Dentist 134 W Vallette St, Elmhurst, IL 60126-4451 2011-08-24
1619256831 Harold D Chen Dentist 8616 Whitney Ave, Elmhurst, NY 11373-3658 2011-08-04
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Competitor

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City ELMHURST
Zip Code 11373

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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