Provider Demographics
NPI:1104071430
Name:TSVIRKO, IRYNA (MD)
Entity type:Individual
Prefix:
First Name:IRYNA
Middle Name:
Last Name:TSVIRKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 MCGREGOR ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3750
Mailing Address - Country:US
Mailing Address - Phone:603-663-6200
Mailing Address - Fax:603-663-6257
Practice Address - Street 1:88 MCGREGOR ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3750
Practice Address - Country:US
Practice Address - Phone:603-663-6200
Practice Address - Fax:603-663-6257
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH159482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH12485261OtherCAQH