MRS. Irina Kholodny, R-PAC
NPI #1255519617 in Massapequa, New York
Provider Information
- NPI Number
- 1255519617
- Entity Type
- Individual
- Name
- MRS. Irina Kholodny, R-PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- R-PAC
- Enumeration Date
- Feb 7, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 585 BROADWAY
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758
- Phone
- (516) 797-2146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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