Provider Demographics
NPI:1154051969
Name:PODSTRELOVA, INGA (MS ED)
Entity Type:Individual
Prefix:
First Name:INGA
Middle Name:
Last Name:PODSTRELOVA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CYRUS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6079
Mailing Address - Country:US
Mailing Address - Phone:646-573-6442
Mailing Address - Fax:718-645-2090
Practice Address - Street 1:56 CYRUS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-6079
Practice Address - Country:US
Practice Address - Phone:646-573-6442
Practice Address - Fax:718-645-2090
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency