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Individual

DR. IGOR BENEDITSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, DO

Contact information

Practice address
2646 E 14TH ST UNIT 1M, BROOKLYN, NY 11235-3916
(718) 576-1212
Mailing address
3743 MERMAID AVE, 2ND FLOOR, BROOKLYN, NY 11224-1234
(718) 576-1212
(718) 332-7110

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
237675
NY
207Q00000X
Family Medicine Physician
Primary
237675
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02810406
NY
Enumeration date
10/31/2006
Last updated
08/03/2022
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