Healthcare Provider Details

I. General information

NPI: 1548181746
Provider Name (Legal Business Name): IRINA SPIRINA AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2065 E 8TH ST APT C4
BROOKLYN NY
11223-4104
US

IV. Provider business mailing address

2065 E 8TH ST APT C4
BROOKLYN NY
11223-4104
US

V. Phone/Fax

Practice location:
  • Phone: 917-325-1426
  • Fax:
Mailing address:
  • Phone: 917-325-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF312849-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: