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Individual

VLADIMIR IZRAILOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3901 NOSTRAND AVE, STORE 3, BROOKLYN, NY 11235-2150
(718) 934-0155
(718) 934-0156
Mailing address
3901 NOSTRAND AVE, STORE 3, BROOKLYN, NY 11235-2150
(718) 934-0155
(718) 934-0156

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12444664
NY

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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