Individual
DR. IRINA GENNADYEVNA TRIFONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(908) 283-9215
Mailing address
620 REISS PL APT 7A, BRONX, NY 10467-8063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287173
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
01/17/2013
Last updated
06/15/2021
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