Provider Demographics
NPI:1932302155
Name:ERLIKH, IRINA V (MD)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:V
Last Name:ERLIKH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:121 DEKALB AVE
Mailing Address - Street 2:DEPT OF FAMILY PRACTICE,
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:718-250-8444
Mailing Address - Fax:718-250-6609
Practice Address - Street 1:121 DEKALB AVE
Practice Address - Street 2:DEPT OF FAMILY PRACTICE,
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-250-8444
Practice Address - Fax:718-250-6609
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2013-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08220700207Q00000X
NY242461-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine