Individual
DR. IRINA NELIPOVICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1761 E 12TH ST, BROOKLYN, NY 11229-1013
(718) 336-1111
Mailing address
2550 E 24TH ST, BROOKLYN, NY 11235-2515
(718) 648-0218
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897098
—
NY
Enumeration date
03/14/2006
Last updated
07/08/2007
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