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Individual

DR. IRINA SHIYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
170 2ND AVE, NEW YORK, NY 10003-5793
(212) 600-9279
(646) 582-1429
Mailing address
4554 BEDFORD AVE, BROOKLYN, NY 11235-2527
(917) 880-7195

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT007372
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VUT007372
NYS LICENSE NUMBER
NY
Enumeration date
11/24/2008
Last updated
07/15/2021
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