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1619069457
IRAIDA KAZACHKOVA
BROOKLYN, NY
NPI
1619069457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 217594)
Enumeration Date
2006-09-29
Last Update Date
2022-08-29
Business Address
Dr. IRAIDA KAZACHKOVA D.O.
150 55TH ST LMC PHYSICIAN SERVICES PC
BROOKLYN, NY 11220-2559
Phone number: 718-630-7000
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Mailing Address
Dr. IRAIDA KAZACHKOVA D.O.
5800 3RD AVE MANAGED CARE DEPARTMENT
BROOKLYN, NY 11220-3702
Phone number: 718-630-7477
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