Individual provider · Type 1 NPI

Rebecca Izrailova

Physician Assistant · Rego Park, NY

NPI number 1114679024 Active

Practice location

9785 Queens Blvd
Rego Park, NY 11374-3319

Call (718) 261-9100 Map

Fax (718) 261-6483

Mailing address

6224 Ellwell Cres
Rego Park, NY 11374-4838

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114679024

Rebecca Izrailova's National Provider Identifier is 1114679024, issued on Jan 21, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rego Park, NY. The record was last updated on Mar 23, 2026.