Provider Demographics
NPI:1780920892
Name:VOLSKA, IRYNA (OTR)
Entity type:Individual
Prefix:MRS
First Name:IRYNA
Middle Name:
Last Name:VOLSKA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 CENTER AVE
Mailing Address - Street 2:APT 4E
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5802
Mailing Address - Country:US
Mailing Address - Phone:347-886-7410
Mailing Address - Fax:
Practice Address - Street 1:2150 CENTER AVE APT 4E
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5802
Practice Address - Country:US
Practice Address - Phone:347-886-7410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017659171W00000X, 225X00000X
NJ46TR00604900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171W00000XOther Service ProvidersContractor