Individual
IRINA DYNKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7316
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306961
NY
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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