Search › New York › 363LA2200X
Susana Izrailova, N.P
NPI 1619340668 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6304 Ellwell Cres
Rego Park, NY 11374 - Phone
- (718) 896-0386
- Fax
- (718) 830-4908
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LG0600X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York