Individual
IRENE IGITIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7706
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F430464
NY
Other
Enumeration date
05/17/2010
Last updated
06/21/2010
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