Individual
MS. IRINA V. ZENKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
506 6TH STREET, NY METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3279
Mailing address
2 CATHARINE STREET P.O. BOX 550, PARK SLOPE ANESTHESIA ASSOCIATES, PC, POUGHKEEPSIE, NY 12602
(866) 808-8416
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
497977-1
NY
367500000X
Certified Registered Nurse Anesthetist
RN592891
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400010755
MEDICARE PTAN
NY
01
—
RN592891
LICENSE
PA
Enumeration date
06/02/2008
Last updated
07/02/2009
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