Individual
IZOLDA IZMAYLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 EAGLE RD, MARLBORO, NJ 07746-1810
(718) 283-6000
Mailing address
41 EAGLE RD, MARLBORO, NJ 07746-1810
(718) 790-0815
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308574-1
NY
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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