Individual provider · Type 1 NPI

Irena Israilova, MS GEN AND SPEC ED

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1003219635 Active

Practice location

6120 Grand Central Pkwy, B1102
Forest Hills, NY 11375-1263

Call (646) 420-7735 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3568882 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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.

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About NPI 1003219635

Irena Israilova, MS GEN AND SPEC ED's National Provider Identifier is 1003219635, issued on Sep 26, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Sep 26, 2014.