Izrailova, Susana

Izrailova, Susana is an sole proprietor health care provider with primary practice located at 6304 Ellwell Cres , Rego Park NY 11374-4829. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Izrailova, Susana can be contacted via phone (718) 896-0386.

Contact Information

Primary practice address
6304 Ellwell Cres Rego Park NY 11374-4829
Phone: (718) 896-0386
Fax: (718) 830-4908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305459-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340780-1 New York

Profile Details

NPI number 1619340668
LBN Legal business name Izrailova, Susana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2015
Last updated Nov 12th, 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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