MEDICARE: DR. IRENA SHPERLING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	141337	NY

General Provider Information

NPI Number	:	1477545218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENA SHPERLING MD

Provider Business Mailing Address
First Line	:	233 7TH ST STE 101
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5747
Country	:	US
Telephone Number	:	516-248-7444
Fax Number	:	516-873-8824

Provider Business Practice Location Address
First Line	:	233 7TH ST
Second Line	:	SUITE 101
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5747
Country	:	US
Telephone Number	:	516-248-7444
Fax Number	:	516-873-8824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	04/20/2011

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