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Individual

DR. ISAAK YELIZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19711 HILLSIDE AVE, HOLLIS, NY 11423-2126
(718) 740-6000
Mailing address
4422 THIRD AVE, BRONX, NY 10457

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055732
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2.010373
CT

Other

Enumeration date
04/25/2010
Last updated
09/18/2014
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