Karine Mirzoyan, MSED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1152066 Issued in NY

Practice address

10 Shore Blvd Apt 4K
Brooklyn, NY 11235-4025

Phone

(646) 334-4322

NPI assigned

Nov 28, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gamma Brainwaves Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1134738446
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385596800000",
    "number": "1164853263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHORE BLVD APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354025",
            "telephone_number": "646-334-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHORE BLVD APT 4K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354025",
            "telephone_number": "646-334-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZOYAN",
        "first_name": "KARINE",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-28",
        "last_updated": "2013-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1152066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE NUMBER",
            "identifier": "1152066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yulduzkhon Mirzaeva
• Sholomo Mirzakandov
• Susan Mirzakandov, PHARMD
• Delaram Mirzania, MD
• Valdete Mirzo
• Kristen Misek, PMHNP
• Jenna Misell
• Daniell Jason Mishaan, DMD
• Jonah Mishaan
• Gidon Mishael

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.