Provider Demographics
NPI:1710208343
Name:SHVARTSMAN, INNA (OT)
Entity Type:Individual
Prefix:MRS
First Name:INNA
Middle Name:
Last Name:SHVARTSMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 E 18TH ST
Mailing Address - Street 2:4D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2148
Mailing Address - Country:US
Mailing Address - Phone:917-693-8272
Mailing Address - Fax:
Practice Address - Street 1:1745 E 18TH ST
Practice Address - Street 2:4D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2148
Practice Address - Country:US
Practice Address - Phone:917-693-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015993225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist