Individual
IRINA KALANTAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7035 113TH ST, FOREST HILLS, NY 11375-4651
(718) 990-4648
(718) 990-4414
Mailing address
PO BOX 1471, BUFFALO, NY 14240-1471
(800) 795-5820
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00392222
RAILROAD
NY
01
—
P00403315
RAILROAD
NY
Enumeration date
06/07/2006
Last updated
11/14/2007
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