Individual provider · NPI-1

Irina Abdrakhmanova, P.A.

Physician Assistant · Mineola, NY

NPI number1083910822
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1083910822
Entity type
Individual (NPI-1)
Name
Irina Abdrakhmanova
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2011
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant014169NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-3833

Mailing address

1 Gustave Levy Place
New-York, NY 10029

Other practice locations

1 Gustave Levy Place
Mt.Sinai Hospital,
New-York, NY 10029

Phone 212-241-6500

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