Individual
IRINA KOVALEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2952 BRIGHTON 3RD ST, SUITE 301, BROOKLYN, NY 11235-6897
(718) 708-4046
(718) 732-2728
Mailing address
2952 BRIGHTON 3 STREET, SUITE 301, BROOKLYN, NY 11235-6897
(718) 708-4046
(718) 732-2728
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
223507
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02349948
—
NY
Enumeration date
07/10/2006
Last updated
12/13/2016
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