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DR. IGOR KHUTORETSKIY M/D
NPI 1962462416
Specialist in Brooklyn, NY

Active since March 27, 2006
5205 CHURCH AVE, BROOKLYN, NY 11203(718) 688-8000(718) 385-5104 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Igor Khutoretskiy M/d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IGOR KHUTORETSKIY M/D (NPI 1962462416) is an individual specialist in Brooklyn, New York, licensed in New York (214430) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1962462416
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. IGOR KHUTORETSKIYCredential: M/D
Location Address5205 CHURCH AVEBrooklyn, NY 11203-3513
Mailing Address5205 Church AveBrooklyn, NY 11203-3513 · (718) 688-8000 · Fax (718) 385-5104
Phone(718) 688-8000
Fax(718) 385-5104
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateFebruary 14, 2012
✔ NPI 1962462416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 214430
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.
5205 CHURCH AVE, Brooklyn, NY 11203
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Other Identifiers 3

Medicare UPINH04650NY
Medicare ID-Type Unspecified9Y0872NY
Medicaid01952469NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENORE SHAMAH RD
Dietitian, Registered
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 688-8000
TRIBORO CHIROPRACTIC, P.C.
Chiropractor
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (516) 594-1900
YEVGENIYA BRODSKAYA PA
Physician Assistant
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 688-6000
AFAM DENTAL PLLC
Dentist
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (917) 291-4232
DAVID MAHL MD
Psychologist
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 688-8000
AFAM FAMILY DENTAL PLLC
Dentist
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 485-4111
RALPH BEAUBRUN FNP
Nurse Practitioner (Family)
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 688-8088
DR. YAMIT BUSIDAN DO
Obstetrics & Gynecology (Obstetrics)
5205 CHURCH AVE
BROOKLYN, NY 11203
Kings County (718) 688-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Igor Khutoretskiy's NPI number?

The NPI number for Igor Khutoretskiy is 1962462416. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Igor Khutoretskiy located?

Igor Khutoretskiy practices at 5205 Church Ave, Brooklyn, NY 11203. The listed phone number is (718) 688-8000.

What is Igor Khutoretskiy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Igor Khutoretskiy was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.