Irina Mesheriakov
Physical Therapist - Pediatrics
49 Cranford Ct
Staten Island
, New York 10306-2083
Irina Mesheriakov
Physical Therapist - Pediatrics
49 Cranford Ct
Staten Island
, New York 10306-2083
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Irina Mesheriakov
- 440 Philip Ave
- Staten Island, NY
- Zip : 10312-5817
- Phone :
Second Address
- Irina Mesheriakov
- 49 Cranford Ct
- Staten Island, NY
- Zip : 10306-2083
- Phone : (917) 553-0424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics |
National Provider Identifier
| NPI | 1104463934 |
|---|---|
| Provider Name | Irina Mesheriakov |
| First Address | Staten Island, NY 10312-5817 |
| Second Address | Staten Island, NY 10306-2083 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2019 |
| Last Update Date | 27/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.