Individual
IRENE KAKOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1180 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5801
(718) 833-8777
(718) 646-8400
Mailing address
8008 NARROWS AVE, BROOKLYN, NY 11209-2831
(718) 833-8777
(718) 646-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
217115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064157
—
NY
Enumeration date
07/20/2006
Last updated
04/06/2009
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