Individual provider · Type 1 NPI

Shalom Izrailev

Specialist · Staten Island, NY

NPI number 1801630371 Active

Practice location

164 Ardmore Ave
Staten Island, NY 10314-4324

Call (631) 943-3171 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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.

Another provider at this address

Other specialist providers in Staten Island

See all in Staten Island →

About NPI 1801630371

Shalom Izrailev's National Provider Identifier is 1801630371, issued on Jun 20, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 20, 2024.