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NPI Code Detail

MEDICARE: MRS. IRINA EFROS OTR/L

MEDICARE:  MRS. IRINA  EFROS  OTR/L
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
1225XP0200XPediatric Occupational Therapist023765NY
2225X00000XOccupational Therapist023765NY

General Provider Information

NPI Number : 1184269219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. IRINA EFROS OTR/L
Provider Business Mailing Address
First Line : 47 E 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1305
Country : US
Telephone Number : 917-720-0124
Fax Number :
Provider Business Practice Location Address
First Line : 47 E 51ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-1305
Country : US
Telephone Number : 917-720-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 11/01/2024

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Directions to “ MRS. IRINA EFROS OTR/L” Practice Location

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