Individual
IRINA PANKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
445 KINGS HWY, 1ST FLOOR, BROOKLYN, NY 11223-1780
(718) 645-2201
(718) 645-2207
Mailing address
65 OCEANA DR E, APT 5D, BROOKLYN, NY 11235-6686
(718) 872-7809
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
209962
NY
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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