Individual
DR. IGOR LOSHAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1316B GRAVESEND NECK ROAD, BROOKLYN, NY 11229
(718) 934-5174
(718) 934-1438
Mailing address
759 TURF RD, VALLEY STREAM, NY 11581
(516) 374-1879
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
005883
NY
213ES0131X
Foot Surgery Podiatrist
Primary
005883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560245
—
NY
Enumeration date
09/20/2006
Last updated
02/29/2008
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