# FEDIR ILNITSKYY MD PC

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

## Provider details

- **NPI number:** 1831618933
- **Authorized official:** FEDIR ILNITSKYY M.D. (PRESIDENT)
- **Authorized official phone:** (718) 438-8585

## Contact information

- **Practice address:** 421 OCEAN PARKWAY, SUITE 2A, BROOKLYN, NY 11218
- **Practice address phone:** (718) 438-8585
- **Practice address fax:** (718) 282-7475
- **Mailing address:** 421 OCEAN PARKWAY, BROOKLYN, NY 11218
- **Mailing address phone:** (718) 438-8585
- **Mailing address fax:** (718) 282-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 262740 | NY | Yes |

## Other

- **Enumeration date:** 09/11/2017
- **Last updated:** 09/11/2017