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NPI Code Detail

MEDICARE: IANA OSTROVA

MEDICARE: IANA OSTROVA
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
1106S00000XBehavior Technician
2222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1356183222
Entity Type Code : Individual
Provider Name (Legal Business Name) : IANA OSTROVA
Provider Business Mailing Address
First Line : 2477 WEST ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5917
Country : US
Telephone Number : 786-658-9265
Fax Number :
Provider Business Practice Location Address
First Line : 253 CORBIN PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4901
Country : US
Telephone Number : 347-464-9439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 04/14/2026

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Directions to “ IANA OSTROVA ” Practice Location

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