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Individual

DR. IRINA V SHPAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4271 HEMPSTEAD TPKE, SUITE 1, BETHPAGE, NY 11714
(516) 796-3700
(516) 796-3205
Mailing address
4271 HEMPSTEAD TPKE, SUITE 1, BETHPAGE, NY 11714
(516) 796-3700
(516) 796-3205

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2146821
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02288948
NY
Enumeration date
06/19/2006
Last updated
07/08/2007
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