Ivanov, Irina

Ivanov, Irina is an individual health care provider with primary practice located at 4 Ethel Road Suite 404, Edison NJ 08817. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ivanov, Irina can be contacted via phone (732) 287-4044.

Contact Information

Primary practice address
4 Ethel Road Suite 404 Edison NJ 08817
Fax: (732) 287-0211
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05223100 New Jersey

Profile Details

NPI number 1417080466
LBN Legal business name Ivanov, Irina
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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