Individual provider · Type 1 NPI

Irina Kalantarova, PA

Medical Physician Assistant · Forest Hills, NY

NPI number 1104866557 Active

Practice location

7035 113th St
Forest Hills, NY 11375-4651

Call (718) 990-4648 Map

Fax (718) 990-4414

Mailing address

PO Box 1471
Buffalo, NY 14240-1471

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008566 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1104866557

Irina Kalantarova, PA's National Provider Identifier is 1104866557, issued on Jun 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Forest Hills, NY. The record was last updated on Nov 14, 2007.