Provider Demographics
NPI:1346555224
Name:KASHARSKY-SEGAL, IRINA B
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:B
Last Name:KASHARSKY-SEGAL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:IRINA
Other - Middle Name:B
Other - Last Name:KASHARSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:889 WILLIAMS PL
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1134
Mailing Address - Country:US
Mailing Address - Phone:215-394-5104
Mailing Address - Fax:215-394-5104
Practice Address - Street 1:889 WILLIAMS PL
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-1134
Practice Address - Country:US
Practice Address - Phone:215-394-5104
Practice Address - Fax:215-394-5104
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator