Individual
DR. DORON ISRAELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
135290-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00767693
—
NY
Enumeration date
08/21/2006
Last updated
10/09/2007
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