Individual
ANDREY KUCHERINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 MILL AVE, BROOKLYN, NY 11234-6422
(347) 312-6316
Mailing address
2710 MILL AVE, BROOKLYN, NY 11234-6422
(347) 312-6316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02829734
—
NY
Enumeration date
02/09/2007
Last updated
07/08/2007
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