Individual
IRINA STANILOVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
285 BROOKFIELD DR, JACKSON, NJ 08527-3871
(646) 675-4335
Mailing address
962 MANOR RD APT 2, STATEN ISLAND, NY 10314-7041
(646) 675-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
816753
NY
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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