Individual provider · Type 1 NPI
Ilan Israeli, MD
Specialist · Jericho, NY
NPI number
1013177914
Active
Practice location
183 Maytime Dr
Jericho, NY 11753-2259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 107405-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1013177914
Ilan Israeli, MD's National Provider Identifier is 1013177914, issued on Jun 13, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jericho, NY. The record was last updated on Jun 13, 2008.