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NPI Code Detail

MEDICARE: DR. IRINA D. TCHANIA PH.D.

MEDICARE:  DR. IRINA D. TCHANIA  PH.D.
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
1103TC0700XClinical Psychologist07205MD

General Provider Information

NPI Number : 1003686270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRINA D. TCHANIA PH.D.
Provider Business Mailing Address
First Line : 145 CENTRAL PARK W
Second Line :
City : NEW YORK
State : NY
Zip : 10023-6296
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 145 CENTRAL PARK W
Second Line :
City : NEW YORK
State : NY
Zip : 10023-6296
Country : US
Telephone Number : 202-505-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 02/21/2024

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Directions to “ DR. IRINA D. TCHANIA PH.D.” Practice Location

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