Irina Domantovsky (NPI# 1316268303, PAC ID# 3678872470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1316268303 |
| PAC ID by PECOS | 3678872470 |
| Professional Enrollment ID | I20190919001752 |
| Full Name | Irina Domantovsky |
| Organization Legal Name | MARC J ELKOWITZ, M.D., P.C. |
| Address |
107 Northern Blvd Suite 203 Great Neck NY 11021-4309 |
| Phone Number | 5167739200 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 2010 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 7214194034 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330014 | JAMAICA HOSPITAL MEDICAL CENTER |
| 330193 | FLUSHING HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 Northern Blvd, Suite 203, Great Neck, NY 11021-4309 | 5167739200 | MARC J ELKOWITZ, M.D., P.C. |
| Organization Legal Name | MARC J ELKOWITZ, M.D., P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc J Elkowitz | Plastic and Reconstructive Surgery | Marc J Elkowitz, M.d., P.C. | 960 A Park Ave, 1st Fl, New York, NY 10028-0325 |
| Lauren Jean Chmielewski | Plastic and Reconstructive Surgery | Marc J Elkowitz, M.d., P.C. | 107 Northern Blvd, Suite 203, Great Neck, NY 11021-4309 |
| Sophie A Bartsich | Plastic and Reconstructive Surgery | Marc J Elkowitz, M.d., P.C. | 107 Northern Blvd, Great Neck, NY 11021-4309 |
| Harry H Intsiful | Plastic and Reconstructive Surgery | Marc J Elkowitz, M.d., P.C. | 107 Northern Blvd, Suite 203, Great Neck, NY 11021-4309 |
| Street Address |
107 NORTHERN BLVD SUITE 203 |
| City | GREAT NECK |
| State | NY |
| Zip | 11021-4309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Martins | Occupational Therapy | 107 Northern Blvd, Suite 308, Great Neck, NY 11021-4309 | |
| Teri A Messina | Clinical Social Worker | 107 Northern Blvd, Great Neck, NY 11021-4311 | |
| Rhoda A Braff | Psychologist, Clinical | 107 Northern Blvd, Suite 202, Great Neck, NY 11021-4309 | |
| Mitchell Levine | Chiropractic | 107 Northern Blvd, Suite 307, Great Neck, NY 11021-4309 | |
| Demetrios Halikiopoulos | Ophthalmology | 107 Northern Blvd, Suite 205, Great Neck, NY 11021-4309 | |
| Gloria Boms | Qualified Audiologist | 107 Northern Blvd, Suite 309, Great Neck, NY 11021-4309 | |
| Lauren Jean Chmielewski | Plastic and Reconstructive Surgery | Marc J Elkowitz, M.d., P.C. | 107 Northern Blvd, Suite 203, Great Neck, NY 11021-4309 |
| Ihab Girgis | Clinical Social Worker | 107 Northern Blvd, Suite 202, Great Neck, NY 11021-4309 | |
| Sharon L Windwer | Clinical Psychologist | 107 Northern Blvd, Suite 305, Great Neck, NY 11021-4309 | |
| Lewis M Lebetkin | Internal Medicine | 107 Northern Blvd, Great Neck, NY 11021-4309 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor J Defazio | Psychologist, Clinical | 10 Grave Ave, Suite 9, Great Neck, NY 11021 | |
| Philip M Ninan | Psychiatry | 935 Northern Boulevard, Suite 102, Great Neck, NY 11021 | |
| Jerelyn R Marcus | Optometry | 93 Bayview Ave, Great Neck, NY 11021-1015 | |
| Daniel Aryeh | Physical Therapy | 200 Middle Neck Rd, Suite H, Great Neck, NY 11021-1107 | |
| Helen Beegel | Clinical Social Worker | 160 Middle Neck Rd, Apt 3b, Great Neck, NY 11021-1207 | |
| Rosalie L Feder | Clinical Social Worker | 134 Middleneck Rd, Great Neck, NY 11021-1224 | |
| Mitchell Siegel | Podiatry | 32 Maple Dr, Great Neck, NY 11021-1240 | |
| Eleonora Tamayeva | Optometry | Great Neck Optometrist PC | 146 Middle Neck Rd, Great Neck, NY 11021-1246 |
| Kioomars Moosazadeh | Physical Medicine and Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Ebrahim Sadighim | Internal Medicine | 138 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Find all physicians in zip 11021 | |||
| City | GREAT NECK |
| Zip Code | 11021 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | GREAT NECK + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Irina Domantovsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.