Individual
MS. IRINA KOUKHARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
474 OVINGTON AVE, LOWER LVEL, BROOKLYN, NY 11209-1550
(718) 238-2625
(718) 238-2704
Mailing address
2952 BRIGHTON 3RD ST STE 201, BROOKLYN, NY 11235-7078
(718) 975-4334
(718) 975-4337
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
232682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634619
—
NY
Enumeration date
05/18/2006
Last updated
11/23/2020
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