Individual
DR. IRINA GONCHARUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8405 BAY PKWY, BROOKLYN, NY 11214-3359
(718) 331-6100
(718) 331-1723
Mailing address
8405 BAY PKWY, BROOKLYN, NY 11214-3359
(718) 331-6100
(718) 331-1723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02276680
—
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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