person
Susana Izrailova, NP
Gerontology Nurse Practitioner in Rego Park, New York
NPI 1619340668

Susana Izrailova is a Gerontology Nurse Practitioner based in Rego Park, NY and is specialized in Gerontology. Susana Izrailova practices in Rego Park, NY and has the professional credentials of NP. The NPI Number for Susana Izrailova is 1619340668 and holds a License No. F305459-1 (New York).

The current practice location address for Susana Izrailova is 6304 Ellwell Cres, Rego Park, NY and can be reached out via phone at 718-896-0386 and via fax at 718-830-4908.

Location: 6304 Ellwell Cres, Rego Park, NY, 11374-4829
person
Provider Profile Details
NPI Number
1619340668
Provider Name
Susana Izrailova
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6304 Ellwell Cres, Rego Park, NY, 11374-4829
Phone Number
718-896-0386
Fax Number
718-830-4908
Provider Enumeration Date
11/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6304 Ellwell Cres
City
State
Zip
11374-4829
Phone Number
718-896-0386
Fax Number
718-830-4908
person
Provider Business Mailing Address Details
Address
6304 Ellwell Cres
City
State
Zip
11374-4829
Phone Number
718-896-0386
Fax Number
718-830-4908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F340780-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
F305459-1 (New York)
Definition
Definition to come...
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