National Provider Identifier
Nicholas Alexander Sirotenko
Nicholas Alexander Sirotenko is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Rochester, NY and a listed phone number of (585) 427-8620.
Profile Overview
- NPI
- 1891438412
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- April 20, 2022
- Last Updated
- September 10, 2024
Practice Location
- 1655 Elmwood Ave Ste 105
- Rochester, NY 14620-3426
Phone: (585) 427-8620
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1891438412
- Entity Type
- Individual
- Last Name
- Sirotenko
- First Name
- Nicholas
- Middle Name
- Alexander
- Mailing Street Address
- 1655 Elmwood Ave Ste 105
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3426
- Mailing Country
- US
- Practice Street Address
- 1655 Elmwood Ave Ste 105
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3426
- Practice Country
- US
- Practice Phone
- (585) 427-8620
- Enumeration Date
- April 20, 2022
- Last Updated
- September 10, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)