Edward Izrailov, LAC
Acupuncturist in Maplewood, New Jersey
1205950367- Practice location
- 1861 Springfield Ave, Maplewood, NJ 07040-2954
- Phone
- 973-303-0758
- Fax
- —
- Last updated
- June 13, 2011
Edward Izrailov is an Acupuncturist based in Maplewood, NJ. Edward Izrailov practices in Maplewood, NJ and has the professional credentials of LAC. The NPI Number for Edward Izrailov is 1205950367 and holds a License No. 25MZ00050400 (NJ). The current practice location address for Edward Izrailov is 1861 Springfield Ave, Maplewood, NJ 07040-2954 and can be reached out via phone at 973-303-0758.
Provider Profile Details
- NPI Number
- 1205950367
- Provider Name
- Edward Izrailov
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1861 Springfield Ave, Maplewood, NJ 07040-2954
- Phone Number
- 973-303-0758
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 16, 2007
- Last Update Date
- June 13, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1861 Springfield Ave
Maplewood, NJ 07040-2954 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-2954
- Phone Number
- 973-303-0758
Provider Business Mailing Address Details
- Address
- 23 N Ridge RD
Livingston, NJ 07039-1238 - City
- Livingston
- State
- NJ
- Zip
- 07039-1238
- Phone Number
- 973-303-0758
License Information
- License Number (1)
- 25MZ00050400
- License State (1)
- NJ
- Taxonomy (1)
- Acupuncturist · 171100000X · Primary
- License Number (2)
- 003234-1
- License State (2)
- NY
- Taxonomy (2)
- Acupuncturist · 171100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Daniel E VudinOptometrist · NPI 1891696779
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Frequently Asked Questions
What is the NPI number of Edward Izrailov, LAC?
The NPI number of Edward Izrailov, LAC is 1205950367. It was assigned on March 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Edward Izrailov, LAC?
Edward Izrailov, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00050400.
Where does Edward Izrailov, LAC practice?
The practice location is 1861 Springfield Ave, Maplewood, NJ 07040-2954. The office can be reached at 973-303-0758 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205950367 directly on the NPPES registry website.