Individual
MARINA IVANYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3029 BRIGHTON 12TH ST APT A6, BROOKLYN, NY 11235-5724
(718) 646-1407
Mailing address
3029 BRIGHTON 12TH ST APT A6, BROOKLYN, NY 11235-5724
(718) 646-1407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241760
NY
Other
Enumeration date
09/13/2006
Last updated
08/19/2015
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