Organization
IRINA MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA KOUKHARENKO MD (OWNER)
(718) 238-2625
Entity
Organization
Contact information
Practice address
474 OVINGTON AVE, BROOKLYN, NY 11209-1550
(718) 238-2625
(718) 238-2704
Mailing address
2952 BRIGHTON 3RD ST STE 201, BROOKLYN, NY 11235-7078
(718) 975-4334
(718) 975-4337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
232682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634619
—
NY
Enumeration date
08/17/2009
Last updated
11/23/2020
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