Individual
IRINA ARTUROVNA KAZACHKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8260
(718) 283-6147
Mailing address
977 48TH ST, ATTENTION: KATHLYN ORLANDO, BROOKLYN, NY 11219-2919
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
230684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11576603
CAQH ID#
NY
Enumeration date
05/10/2006
Last updated
01/24/2014
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