Provider Demographics
NPI:1932402419
Name:SHENDRIK, IRINA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:SHENDRIK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 E 7TH ST
Mailing Address - Street 2:APT 5T
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5911
Mailing Address - Country:US
Mailing Address - Phone:917-470-4972
Mailing Address - Fax:
Practice Address - Street 1:324 EAST 23 STREET
Practice Address - Street 2:NYU HJD AMBULATORY CLINIC
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:646-754-1409
Practice Address - Fax:212-598-6666
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily