Individual
MS. IRENE SHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 N MILITARY TRL STE 107, BOCA RATON, FL 33431-6347
(917) 747-9595
Mailing address
425 NEPTUNE AVE APT 1B, BROOKLYN, NY 11224-4540
(917) 747-9595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010161
NY
363AM0700X
Medical Physician Assistant
Primary
PA9114690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/25/2006
Last updated
04/06/2023
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