Iryna Koriaeva

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20489 Issued in NY

Practice address

11215 72ND Rd Ste LL1
Forest Hills, NY 11375-4600

Phone

(718) 261-3437

Fax

(718) 261-4142

NPI assigned

May 27, 2020

Last updated

May 27, 2020By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Human Services,Inc

  • Addiction (Substance Use Disorder) Counselor
  • Forest Hills, NY
  • NPI 1861552358
  NPD (past)
• Advanced Human Services,Inc

  • Case Management Agency
  • Forest Hills, NY
  • NPI 1861770141
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1902429723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 72ND RD STE LL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754600",
            "telephone_number": "718-261-3437",
            "fax_number": "718-261-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 72ND RD STE LL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754600",
            "telephone_number": "718-261-3437",
            "fax_number": "718-261-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORIAEVA",
        "first_name": "IRYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "20489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avner Kondov, FNP
• Krystian Koniarz
• Boris A Konnikow, MD PHD
• Kool Smiles Dental PC
• Natalie Koptyev, PHARMD
• Sara M Korman, MA
• Michele Britt Kormendi, MA, CCC-SLP
• Arden Koroglu
• Matthew Kossin, LCSW
• Gail Kottler Sapolsky, PT

• Addiction (Substance Use Disorder) Counselor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.