National Provider Identifier

Irine Siraj, MBBS

Irine Siraj, MBBS is listed in the NPPES registry with a primary specialty of Neurology Physician in Ithaca, NY and a listed phone number of (607) 273-6757.

NPI 1528589421Ithaca, NYNeurology Physician

Profile Overview

NPI
1528589421
Provider Type
Individual
Primary Specialty
Neurology Physician
Enumeration Date
June 29, 2017
Last Updated
July 15, 2022

Practice Location

  • 905 Hanshaw RD
  • Ithaca, NY 14850-1549

Phone: (607) 273-6757

Mailing Address

  • 905 Hanshaw RD Ste A
  • Ithaca, NY 14850-1549

Specialties

  • Neurology Physician (2084N0400X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1528589421
Entity Type
Individual
Last Name
Siraj
First Name
Irine
Credential
MBBS
Mailing Street Address
905 Hanshaw RD Ste A
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1549
Mailing Country
US
Mailing Phone
(607) 273-6757
Practice Street Address
905 Hanshaw RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1549
Practice Country
US
Practice Phone
(607) 273-6757
Enumeration Date
June 29, 2017
Last Updated
July 15, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neurology Physician (2084N0400X), Student in an Organized Health Care Education/Training Program (390200000X)