Israel, Igor
Israel, Igor is an sole proprietor health care provider with primary practice located at 11241 Queens Blvd Suite Llb, Forest Hills NY 11375-7475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Israel, Igor can be contacted via phone (718) 520-7723.Contact Information
Primary practice address
11241 Queens Blvd Suite Llb
Forest Hills NY 11375-7475
Phone: (718) 520-7723
Fax: (718) 520-7733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 221146 | New York |
Profile Details
| NPI number | 1851391692 |
|---|---|
| LBN Legal business name | Israel, Igor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 3rd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851391692 | NPPES |
| New York | MEDICAID | 02172223 |
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