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NPI Code Detail

MEDICARE: IRINA BELYANSKAYA OT PC

MEDICARE: IRINA BELYANSKAYA OT PC
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
1225X00000XOccupational Therapist
2225XP0019XPhysical Rehabilitation Occupational Therapist

General Provider Information

NPI Number : 1316527310
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRINA BELYANSKAYA OT PC
Provider Business Mailing Address
First Line : 358 NEPTUNE AVE FL 6
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6847
Country : US
Telephone Number : 347-492-6455
Fax Number :
Provider Business Practice Location Address
First Line : 358 NEPTUNE AVE FL 6
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6847
Country : US
Telephone Number : 347-492-6455
Fax Number :
Authorized Official
Title or Position : OWNER
Name : IRINA BELYANSKAYA
Credential : OTR
Telephone Number : 646-245-8609
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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