Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Irina Domantovsky, MD

Individual provider Plastic Surgery Physician · NPI 1316268303

Dr. Irina Domantovsky, MD is a Plastic and Reconstructive Surgery in New York, New York. Graduated from State University of Ny Upstate Medical University in 2010, 16 years ago. Practices as a sole proprietor, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

590 5th Ave Fl 11
New York, NY 10036-4748
Phone: (917) 387-7834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 55 Broadway, Bangor, ME 04401-5201 — (207) 947-5657
  • 55 Broadway, Bangor, ME 04401-5201 — (207) 947-5657
  • 107 Northern Blvd Ste 203, Great Neck, NY 11021 — (516) 773-9200

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 300353 (NY)
Plastic Surgery Physician Taxonomy 208200000X · Licence 300353 (NY)

Record details

NPI number1316268303
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2010
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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