Individual
FEDIR ILNITSKYY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 OCEAN PKWY, SUITE 2A, BROOKLYN, NY 11218-5132
(718) 438-8585
Mailing address
421 OCEAN PKWY, SUITE 2A, BROOKLYN, NY 11218-5132
(718) 438-8585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
262740
NY
Other
Enumeration date
02/03/2011
Last updated
08/24/2011
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