Individual
DR. IRINA FAYNBLUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(917) 929-0808
Mailing address
12 WILLOW WAY, LAWRENCE, NY 11559-2018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220240
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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