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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851391692 NPPES
New York MEDICAID 02172223

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