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Mr. Igor Dmytrienko, MD
Specialist in Ridgewood, New Jersey
NPI 1881730026

Igor Dmytrienko is a Specialist based in Ridgewood, NJ. Igor Dmytrienko practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Igor Dmytrienko is 1881730026 and holds a License No. 25MA06920100 (New Jersey).

The current practice location address for Igor Dmytrienko is 51 Chestnut St, Ridgewood, NJ and can be reached out via phone at 201-670-9215.

Location: 51 Chestnut St, Ridgewood, NJ, 07450-3873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881730026
Provider Name
Igor Dmytrienko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
51 Chestnut St, Ridgewood, NJ, 07450-3873
Phone Number
201-670-9215
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8056803 05 NJ
institution
Provider Business Practice Location Address Details
Address
51 Chestnut St
City
Ridgewood
State
New Jersey
Zip
07450-3873
Phone Number
201-670-9215
Fax Number
person
Provider Business Mailing Address Details
Address
51 Chestnut St
City
Ridgewood
State
New Jersey
Zip
07450-3873
Phone Number
201-670-9215
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06920100 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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