Individual
IGOR CHERNYAVSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2625 E 14TH ST, SUITE 201, BROOKLYN, NY 11235-3973
(718) 891-7800
(718) 332-7246
Mailing address
16 TALLOW LN, LAKE GROVE, NY 11755-1806
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
214470
NY
207RP1001X
Pulmonary Disease Physician
Primary
214470
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02318261
—
NY
Enumeration date
03/01/2006
Last updated
10/31/2007
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