Individual
DR. INESSA SVISTUNOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D./D.O.
Contact information
Practice address
520 NEPTUNE AVE, BROOKLYN, NY 11224-4004
(646) 714-3323
Mailing address
170 AVENUE C, #6-E, NEW YORK, NY 10009-4206
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
260807
NY
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
268070
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
268070
NY
Other
Enumeration date
05/29/2008
Last updated
11/05/2014
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