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NPI Code Detail

MEDICARE: DR. MARINA KRASNOPOLSKY MD

MEDICARE: DR. MARINA KRASNOPOLSKY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician237732NY

General Provider Information

NPI Number : 1649483843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARINA KRASNOPOLSKY MD
Provider Business Mailing Address
First Line : 333 E 69TH ST APT TH8
Second Line :
City : NEW YORK
State : NY
Zip : 10021-5550
Country : US
Telephone Number : 718-858-7200
Fax Number :
Provider Business Practice Location Address
First Line : 68 SCHERMERHORN ST # 80
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5005
Country : US
Telephone Number : 718-858-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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