Koukharenko, Irina
Koukharenko, Irina is an sole proprietor health care provider with primary practice located at 474 Ovington Ave Lower Lvel, Brooklyn NY 11209-1550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Koukharenko, Irina can be contacted via phone (718) 238-2625.Contact Information
Primary practice address
474 Ovington Ave Lower Lvel
Brooklyn NY 11209-1550
Phone: (718) 238-2625
Fax: (718) 238-2704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 232682 | New York |
Profile Details
| NPI number | 1093768681 |
|---|---|
| LBN Legal business name | Koukharenko, Irina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093768681 | NPPES |
| New York | MEDICAID | 02634619 |
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