Individual
ARTUR IVCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(732) 923-6769
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
296043
NY
Other
Enumeration date
05/22/2015
Last updated
07/02/2021
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