Individual
DEBORAH ISHAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1010 NORTHERN BLVD, SUITE 208, GREAT NECK, NY 11021-5317
(718) 888-1467
(516) 869-8653
Mailing address
444 MIDDLE NECK ROAD, APT 3K, GREAT NECK, NY 11023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013792
NY
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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