Provider Demographics
NPI:1609239037
Name:TUNNAGE, IRINA USACH (DO)
Entity Type:Individual
Prefix:DR
First Name:IRINA
Middle Name:USACH
Last Name:TUNNAGE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:550 1ST AVE DEPT OF
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-731-6430
Mailing Address - Fax:212-731-5600
Practice Address - Street 1:550 1ST AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-731-6430
Practice Address - Fax:212-731-5600
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-02
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY303692207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology