MS. IRENA ISRAILOVA (NPI# 1003219635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003219635 |
| Entity Type | Individual |
| Full Name | MS. IRENA ISRAILOVA |
| Credential | MS GEN AND SPEC ED |
| Practice Address |
6120 Grand Central Pkwy B1102 Forest Hills NY 11375-1263 |
| Practice Telephone | 6464207735 |
| Mailing Telephone | 6464207735 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 3568882 | NY | Student, Health Care |
| Street Address |
6120 GRAND CENTRAL PKWY B1102 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710060108 | Sonia Maria De La Cruz | Counselor | 6120 Grand Central Pkwy, Apt.b-507, Forest Hills, NY 11375-1263 | 2006-10-23 |
| 1467797019 | Sarah A Lynch | Occupational Therapist | 6120 Grand Central Pkwy, C1504, Forest Hills, NY 11375-1263 | 2012-12-09 |
| 1902154628 | Michelle Badagliacca | Speech-Language Pathologist | 6120 Grand Central Pkwy, Apt B106, Forest Hills, NY 11375-1263 | 2012-08-28 |
| 1922389865 | Cecilia Yat-shan Leung | Pharmacist | 6120 Grand Central Pkwy, Apt# A 1206, Forest Hills, NY 11375-1263 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765247 | Ariel Figueroa | Student in an Organized Health Care Education/Training Program | 10915 Queens Blvd Apt 6b, Forest Hills, NY 11375-5490 | 2020-06-17 |
| 1477176337 | Haley Isabel Rosenberg | Student in an Organized Health Care Education/Training Program | 10813 65th Rd, Forest Hills, NY 11375-1842 | 2020-05-26 |
| 1548882632 | Haocheng Cai | Student in an Organized Health Care Education/Training Program | 6837 108th St Apt 5e, Forest Hills, NY 11375-3377 | 2020-05-11 |
| 1063034445 | Shamuel Ilyayev | Student in an Organized Health Care Education/Training Program | 10524 67th Ave Apt 3b, Forest Hills, NY 11375-2128 | 2020-05-08 |
| 1336768639 | Aditya Doddapaneni | Student in an Organized Health Care Education/Training Program | 11250 78th Ave Apt 6j, Forest Hills, NY 11375-7108 | 2020-04-16 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1457919771 | Berta Shchegol | Student in an Organized Health Care Education/Training Program | 11024 67th Dr, Forest Hills, NY 11375-2948 | 2019-06-01 |
| 1740741321 | Priyanka Moondra | Student in an Organized Health Care Education/Training Program | 6636 Yellowstone Blvd Apt 10b, Forest Hills, NY 11375-2552 | 2019-03-27 |
| 1366914913 | Chana Cohen | Student in an Organized Health Care Education/Training Program | 6930 Groton St, Forest Hills, NY 11375-5150 | 2018-12-20 |
| 1942791934 | Iosif Joseph Khaimov | Student in an Organized Health Care Education/Training Program | 10250 62nd Rd Apt 1f, Forest Hills, NY 11375-1009 | 2018-05-24 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on MS. IRENA ISRAILOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.