Individual
DR. DMITRI IGONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7009
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6151
(718) 635-8411
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
254633
NY
2085R0202X
Diagnostic Radiology Physician
254633
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
254633
NY
2085R0204X
Vascular & Interventional Radiology Physician
25MA10047100
NJ
Other
Enumeration date
07/26/2008
Last updated
11/17/2023
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