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

MS. Irena Israilova, MSGENANDSPECED

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003219635

MS. Irena Israilova, MSGENANDSPECED is a Student in an Organized Health Care Education/Training Program in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

6120 Grand Central Pkwy B1102
Forest Hills, NY 11375-1263
Phone: (646) 420-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3568882 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1003219635
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSGENANDSPECED
Sole proprietorYes
NPI enumeratedSeptember 26, 2014
Last updated in NPPESSeptember 26, 2014

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