Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Levi Izrailov

Individual provider Pharmacist · NPI 1194370833

Levi Izrailov is a Pharmacist in Bronx, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 065647 (NY)

Record details

NPI number1194370833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address114 Beverley Rd, Brooklyn, NY 11218-3914

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