Provider Demographics
NPI:1932475050
Name:BARAHMAN, IRINA (RN)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:BARAHMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 AVENUE R
Mailing Address - Street 2:#6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1052
Mailing Address - Country:US
Mailing Address - Phone:347-328-2662
Mailing Address - Fax:
Practice Address - Street 1:116 E 92ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1620
Practice Address - Country:US
Practice Address - Phone:212-289-7166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY648063-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse