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Individual

DR. RUSLAN ISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4090
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2206231
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02143337
NY
Enumeration date
06/23/2005
Last updated
11/03/2009
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