Individual
IRINA SHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
1865 OCEAN AVE, APT. 2A, BROOKLYN, NY 11230-6288
(718) 377-1688
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
221977-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226960
—
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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