Individual
IRINA BENYAMINOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8714 63RD DR, REGO PARK, NY 11374-4826
(718) 896-7133
Mailing address
8714 63RD DR, REGO PARK, NY 11374-4826
(718) 896-7133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
240556
NY
Other
Enumeration date
06/25/2006
Last updated
02/28/2013
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