Individual
DR. INNA BUKHAROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 W 59TH ST, 9-C, NEW YORK, NY 10019-1104
(212) 492-5550
(212) 492-5555
Mailing address
PO BOX 95000-4145, PHILADELPHIA, PA 19195-0001
(212) 492-5550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
224481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682635
—
NY
Enumeration date
12/29/2005
Last updated
09/14/2012
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