Izolda Mikhaylov DO

NPI 1093734055 - Family Medicine - 207Q00000X

NPI Details
NPI 1093734055
Gender Female
Enumeration Date 07/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9815 HORACE HARDING EXPY
CORONA NY, 11368-4249, US
Phone (718) 699-8500
Fax
Business Location
785 VAN DAM ST
VALLEY STREAM NY, 11581-3523, US
Phone (718) 469-0890
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 223885
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According to our database, Izolda Mikhaylov DO NPI is 1093734055, taxonomy code is 207Q00000X and license number is 223885, license state is located at New York. Izolda Mikhaylov DO physically located at 9815 Horace Harding Expy, Corona NY, 11368-4249. NPI Number Izolda Mikhaylov DO has the Individual type.

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1093734055 NPI number is provided on an as is basis without warranty of any kind. 1093734055 is maintained by the National Plan & Provider Enumeration System. The contents of Izolda Mikhaylov DO are for informational purposes only.