Provider Demographics
NPI:1316527310
Name:IRINA BELYANSKAYA OT PC
Entity type:Organization
Organization Name:IRINA BELYANSKAYA OT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELYANSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:646-245-8609
Mailing Address - Street 1:358 NEPTUNE AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6847
Mailing Address - Country:US
Mailing Address - Phone:347-492-6455
Mailing Address - Fax:
Practice Address - Street 1:358 NEPTUNE AVE FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6847
Practice Address - Country:US
Practice Address - Phone:347-492-6455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty