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Organization

MOSCOW MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRINE CORST M.D. (PRESIDENT)
(917) 992-0912
Entity
Organization

Contact information

Practice address
950 70TH ST, SUITE# 3A, BROOKLYN, NY 11228-1100
(917) 992-0912
Mailing address
950 70TH ST, SUITE# 3A, BROOKLYN, NY 11228-1100
(917) 992-0912

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
214541
NY

Other

Enumeration date
11/08/2007
Last updated
04/29/2008
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