Provider Demographics
NPI:1124218946
Name:ARANBAYEVA, IRINA (OTR)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:ARANBAYEVA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 62ND DR APT 11F
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1326
Mailing Address - Country:US
Mailing Address - Phone:917-667-9954
Mailing Address - Fax:718-559-4811
Practice Address - Street 1:9740 62ND DR APT 11F
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1326
Practice Address - Country:US
Practice Address - Phone:917-667-9954
Practice Address - Fax:718-559-4811
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist