| Ikor Medical Pc | |
|
1130 Brighton Beach Ave Brooklyn NY 11235-5548 | |
| (718) 648-3743 | |
| Not Available |
| Full Name | Ikor Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1130 Brighton Beach Ave, Brooklyn, New York |
| Authorized Official Name and Position | Irina M Korobov (PRESIDENT) |
| Authorized Official Contact | 7186483743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikor Medical Pc 1130 Brighton Beach Ave Brooklyn NY 11235-5548 Ph: (718) 648-3743 | Ikor Medical Pc 1130 Brighton Beach Ave Brooklyn NY 11235-5548 Ph: (718) 648-3743 |
| NPI Number | 1861783771 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 6901082981 |
|---|---|
| Medicare Enrollment ID | O20110510000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861783771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Irina Korobov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740367630 PECOS PAC ID: 8224217781 Enrollment ID: I20110131000086 |
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