Individual
IGOR BRICHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
264 GREENCROFT AVE, STATEN ISLAND, NY 10308-3247
(646) 342-0379
Mailing address
264 GREENCROFT AVE, STATEN ISLAND, NY 10308-3247
(646) 342-0379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
245236
NY
2086S0129X
Vascular Surgery Physician
Primary
25MA09854200
NJ
Other
Enumeration date
01/04/2008
Last updated
03/11/2024
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