Mishell Israilov
NPI #1205614005 in Rockaway Park, New York
Provider Information
- NPI Number
- 1205614005
- Entity Type
- Individual
- Name
- Mishell Israilov
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 11506 ROCKAWAY BEACH BLVD
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-2346
- Phone
- (718) 554-7766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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