MEDICARE: MRS. IRINA CHAIKHOUTDINOVA PA

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
1	363AM0700X	Medical Physician Assistant	009805-1	NY

General Provider Information

NPI Number	:	1912271354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. IRINA CHAIKHOUTDINOVA PA

Provider Business Mailing Address
First Line	:	105 KINGS HWY APT 5C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1562
Country	:	US
Telephone Number	:	917-907-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3913
Country	:	US
Telephone Number	:	718-332-4440
Fax Number	:	718-332-0077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	03/02/2012

Similar Medicare Providers

1609853472 — MR. DOMINIQUE ALAIN COZIEN MD
Practice Location Address:

1513 VOORHIES AVE
BROOKLYN, NY
11235-3913

Practice Phone: 718-332-7878
Practice Fax: 718-504-4803

1134610694 — DR. TAHIR SARFRAZ SHEIKH MD
Practice Location Address:

1513 VOORHIES AVE
BROOKLYN, NY
11235-3913

Practice Phone: 718-332-7878
Practice Fax:

1346953270 — SPINE AND PAIN CONSULTANT, PLLC
Practice Location Address:

1513 VOORHIES AVE
BROOKLYN, NY
11235-3913

Practice Phone: 718-667-3577
Practice Fax:

1215742465 — JESSICA CASARREAL
Practice Location Address:

2915 W 5TH ST APT 18E
BROOKLYN, NY
11224-3913

Practice Phone: 786-319-2827
Practice Fax:

1063639581 — DR. ALAN S. BROWN D.D.S.
Practice Location Address:

3913 SEA GATE AVE
BROOKLYN, NY
11224-1332

Practice Phone: 718-372-7309
Practice Fax:

1023285913 — MRS. VENUS SZE-TSANG
Practice Location Address:

5702 8TH AVE
BROOKLYN, NY
11220-3913

Practice Phone: 718-238-9828
Practice Fax:

Directions to “ MRS. IRINA CHAIKHOUTDINOVA PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.