Organization
FAYN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA KLEBANOV D.O. (OWNER)
(718) 676-4500
Entity
Organization
Contact information
Practice address
1517 VOORHIES AVE, GROUND FLOOR, BROOKLYN, NY 11235-3970
(718) 676-4500
(718) 942-5649
Mailing address
1517 VOORHIES AVE, GROUND FLOOR, BROOKLYN, NY 11235-3970
(718) 676-4500
(718) 942-5649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223026
NY
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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