Shalom Izrailev
Shalom Izrailev is a Specialist in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
164 Ardmore AveStaten Island, NY 10314-4324
Phone: (631) 943-3171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1801630371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2024 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
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