Ilan Israeli M.D.

NPI 1013177914 - Specialist - 174400000X

NPI Details
NPI 1013177914
Gender Male
Enumeration Date 06/13/2008
Last Updated 06/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
183 MAYTIME DR
JERICHO NY, 11753-2259, US
Phone (516) 822-2656
Fax
Business Location
183 MAYTIME DR
JERICHO NY, 11753-2259, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 107405-1
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According to our database, Dr. Ilan Israeli M.D. NPI is 1013177914, taxonomy code is 174400000X and license number is 107405-1, license state is located at New York. Ilan Israeli M.D. physically located at 183 Maytime Dr, Jericho NY, 11753-2259. NPI Number Ilan Israeli M.D. has the Individual type.

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1013177914 NPI number is provided on an as is basis without warranty of any kind. 1013177914 is maintained by the National Plan & Provider Enumeration System. The contents of Ilan Israeli M.D. are for informational purposes only.