Individual
INESSA SAFRONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7843
(718) 635-8434
Mailing address
49 NIXON CT, APT. 4D, BROOKLYN, NY 11223-6529
(347) 713-4911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234646-1
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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