# INNOVATIVE MEDICAL CONCEPTS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700478013
- **Authorized official:** MR. IGOR OSTROVSKY M.D. (PRESIDENT)
- **Authorized official phone:** (917) 796-1267

## Contact information

- **Practice address:** 11 E 47TH ST FL 2, NEW YORK, NY 10017-1919
- **Practice address phone:** (212) 355-3377
- **Mailing address:** 3120 BRIGHTON 5TH ST STE 1C, BROOKLYN, NY 11235-7003
- **Mailing address phone:** (718) 934-1920
- **Mailing address fax:** (718) 934-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2021
- **Last updated:** 02/08/2021