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NPI Code Detail

MEDICARE: IRINA BELYANSKAYA OTR/L

MEDICARE:   IRINA  BELYANSKAYA  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
1225X00000XOccupational Therapist023589-1NY

General Provider Information

NPI Number : 1801452487
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRINA BELYANSKAYA OTR/L
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 : 347-492-6454
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2019
Last Update Date : 04/13/2021

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