Ismailer, Ida

Ismailer, Ida is an individual health care provider with primary practice located at 1991 Marcus Ave , New Hyde Park NY 11042-2057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ismailer, Ida can be contacted via phone (516) 354-1600.

Contact Information

Primary practice address
1991 Marcus Ave New Hyde Park NY 11042-2057
Fax: (516) 941-4677
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 157451 New York

Profile Details

NPI number 1649333683
LBN Legal business name Ismailer, Ida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649333683 NPPES
New York MEDICAID 01143773

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