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Mishell Israilov
Specialist in Rockaway Park, New York
NPI 1205614005

Mishell Israilov is a Specialist based in East Norwich, NY. Mishell Israilov practices in Rockaway Park, NY. The NPI Number for Mishell Israilov is 1205614005 and holds a License No. (New York).

The current practice location address for Mishell Israilov is 11506 Rockaway Beach Blvd, Rockaway Park, NY and can be reached out via phone at 718-554-7766.

Location: 11506 Rockaway Beach Blvd, Rockaway Park, NY, 11732-1233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205614005
Provider Name
Mishell Israilov
Credential
Provider Entity Type
Individual
Gender
Female
Address
11506 Rockaway Beach Blvd, Rockaway Park, NY, 11732-1233
Phone Number
718-554-7766
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11506 Rockaway Beach Blvd
City
Rockaway Park
State
New York
Zip
11694-2346
Phone Number
718-554-7766
Fax Number
person
Provider Business Mailing Address Details
Address
11506 Rockaway Beach Blvd
City
Rockaway Park
State
New York
Zip
11694-2346
Phone Number
718-554-7766
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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