Individual
ADINA ITSHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13718 JEWEL AVE # 29A, FLUSHING, NY 11367-1989
(347) 286-2868
Mailing address
13718 JEWEL AVE # 29A, FLUSHING, NY 11367-1989
(347) 286-2868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3995801
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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