Mezhebovsky, Irina Y
Mezhebovsky, Irina Y is an individual health care provider with primary practice located at 300 South St , Brookline MA 02467-3658. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mezhebovsky, Irina Y can be contacted via phone (617) 469-0300.Contact Information
Primary practice address
300 South St
Brookline MA 02467-3658
Phone: (617) 469-0300
Fax: (617) 783-0395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 150235 | Massachusetts |
Profile Details
| NPI number | 1114981073 |
|---|---|
| LBN Legal business name | Mezhebovsky, Irina Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114981073 | NPPES |
| Massachusetts | MEDICAID | 3171051 |
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