Individual
DR. KARINA FATAKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
70 N COUNTRY RD STE 101, PORT JEFFERSON, NY 11777-2161
(631) 978-7700
Mailing address
70 N COUNTRY RD STE 101, PORT JEFFERSON, NY 11777-2161
(631) 978-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
306049-01
NY
207RG0100X
Gastroenterology Physician
Primary
306049-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
07/14/2026
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