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Individual

INNA MIROSHNICHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2601 OCEAN PKWY, ROOM 901, BROOKLYN, NY 11235-7745
(718) 616-3223
Mailing address
2601 OCEAN PKWY, ROOM 901, BROOKLYN, NY 11235-7745
(718) 616-3223

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
262427
NY

Other

Enumeration date
12/04/2011
Last updated
12/04/2011
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