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Individual

IRINA GIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1809
(718) 604-5369
(718) 604-5272
Mailing address
3205 160TH ST, FLUSHING, NY 11358-1344
(718) 604-5369
(718) 604-5272

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
176963-7B
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01204177
NY
Enumeration date
12/14/2005
Last updated
02/01/2010
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