Provider Demographics
NPI:1942684345
Name:ATTIAS, IRINA ZAKHAROVA
Entity Type:Individual
Prefix:MS
First Name:IRINA
Middle Name:ZAKHAROVA
Last Name:ATTIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 FAIRVIEW AVE APT 9J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2756
Mailing Address - Country:US
Mailing Address - Phone:646-789-2025
Mailing Address - Fax:
Practice Address - Street 1:45 FAIRVIEW AVE APT 9J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2756
Practice Address - Country:US
Practice Address - Phone:646-789-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY687393163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool