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NPI Code Detail

MEDICARE: IRINA KOVATCH MD

MEDICARE: IRINA KOVATCH 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
12086S0102XSurgical Critical Care Physician251365NY
2208600000XSurgery Physician251365NY

General Provider Information

NPI Number : 1053567164
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA KOVATCH MD
Provider Business Mailing Address
First Line : 445 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 718-270-1421
Fax Number :
Provider Business Practice Location Address
First Line : 445 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 718-270-1421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2008
Last Update Date : 05/30/2026

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