Provider Demographics
NPI:1558673764
Name:OZERSKY, IRINA (AUD)
Entity type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:OZERSKY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 FRANKLIN AVE
Mailing Address - Street 2:SUITE 203 B
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2921
Mailing Address - Country:US
Mailing Address - Phone:516-739-3999
Mailing Address - Fax:516-739-1097
Practice Address - Street 1:975 FRANKLIN AVE
Practice Address - Street 2:SUITE 203 B
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-2921
Practice Address - Country:US
Practice Address - Phone:516-739-3999
Practice Address - Fax:516-739-1097
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2298231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist