Organization
IRINA SHPAK MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA SHPAK M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
998 OLD COUNTRY RD, SUITE 203, PLAINVIEW, NY 11803-4928
(631) 271-9151
(631) 271-9155
Mailing address
998 OLD COUNTRY RD, SUITE 203, PLAINVIEW, NY 11803-4928
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
214682-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214682-1
LICENSE
NY
Enumeration date
02/27/2012
Last updated
02/27/2012
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