ANDREW IVANSON

BROOKLYN, NY
NPI1437197928
Former NameANDREY IVANUSHKIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NY  209134)
Enumeration Date2006-06-04
Last Update Date2007-07-08
Business Address
-- ANDREW IVANSON M.D.
726 AVENUE Z
BROOKLYN, NY 11223-6238
Phone number: 718-872-7373
Mailing Address
-- ANDREW IVANSON M.D.
4817 BEDFORD AVE 3A
BROOKLYN, NY 11235-2783
Phone number: 646-541-9779