Organization
IS MEDICAL ARTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA SVISTUNOVA D.O. (PRESIDENT)
(917) 705-3664
Entity
Organization
Contact information
Practice address
501 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-6403
(718) 942-5686
Mailing address
501 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-6403
(718) 942-5686
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
268070
NY
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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