Individual
DR. KONSTANTIN NIKIFOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 E 46TH ST RM 1200, NEW YORK, NY 10017-9246
(646) 850-2290
(646) 850-2295
Mailing address
65 OCEANA DR E, APT. 4B, BROOKLYN, NY 11235-6686
(718) 577-7783
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
223494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02258717
—
NY
Enumeration date
08/31/2006
Last updated
02/09/2020
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