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Shalom Izrailev

NPI 1801630371 · on the registry since 2024 · sole proprietor

Practice

Address
164 Ardmore Ave
Staten Island, NY 10314
Phone
(631) 943-3171
Clinicians at this address
2

Registry record

Primary taxonomy
Specialist
174400000X
Sex
Male
Record last updated
2024-06-20
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York