Organization
NEW YORK GLAUCOMA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA PANKOVA DO (PRESIDENT)
(718) 645-2201
Entity
Organization
Contact information
Practice address
455 KINGS HWY, 1ST FLOOR, BROOKLYN, NY 11223-1803
(718) 645-2201
(718) 645-2207
Mailing address
65 OCEANA DR E, SUITE 5D, BROOKLYN, NY 11235-6686
(718) 645-2201
(718) 645-2207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
12/08/2008
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