Individual
IRINA STATNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-6723
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-6723
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
310508
NY
363A00000X
Physician Assistant
310508
NY
Other
Enumeration date
03/28/2018
Last updated
07/17/2023
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