Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 281916 | NY |
NPI | 1184941213 |
---|---|
Provider Name | Dr. Irina Katayeva |
First Address | Brooklyn, NY 11209-7104 |
Second Address | Brooklyn, NY 11209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 21/06/2018 |