Individual provider · Type 1 NPI
Susana Izrailova, N.P.
Adult Health Nurse Practitioner · Rego Park, NY
NPI number
1619340668
Active
Practice location
6304 Ellwell Cres
Rego Park, NY 11374-4829
Fax (718) 830-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305459-1 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | F340780-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1619340668
Susana Izrailova, N.P.'s National Provider Identifier is 1619340668, issued on Nov 12, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rego Park, NY. The record was last updated on Nov 12, 2015.