Individual
MRS. IREN SHEMELYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LC. AC.
Contact information
Practice address
6127 WOODSIDE AVE, WOODSIDE, NY 11377-3542
(646) 644-9780
(718) 426-4240
Mailing address
2958 W 8TH ST, SUITE 20J, BROOKLYN, NY 11224-3223
(646) 644-9780
(718) 426-4240
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
001998
NY
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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