Individual
IRINI A SEDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MARCUS AVENUE, NEW HYDE PARK, NY 11042
(516) 622-7405
Mailing address
61 73 69TH LANE, MIDDLE VILLAGE, MIDDLE VILLAGE, NY 11379
(347) 613-4674
(347) 613-4674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
002842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2650T1
EMPIRE BCBS
NY
01
—
2650T2
EMPIRE BCBS
NY
Enumeration date
09/20/2007
Last updated
07/31/2009
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