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Individual

DR. IRENE JOSEPHINE VERGILIS-KALNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2727 OCEAN PKWY STE L1, BROOKLYN, NY 11235-7848
(718) 975-7546
(718) 975-7547
Mailing address
35 SEACOAST TER APT 18M, BROOKLYN, NY 11235-6008
(917) 531-6041

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
256563
NY
207ND0101X
MOHS-Micrographic Surgery Physician
256563
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
256563
LICENSE
NY
Enumeration date
06/12/2009
Last updated
05/07/2015
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