Individual
DR. IGOR IZRAILTYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HEALTH SCIENCES CENTER, L4, #060, STONY BROOK, NY 11794-8480
(631) 444-2975
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
236026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02665025
—
NY
01
—
0781T1
EMPIRE BC.BS
NY
Enumeration date
07/29/2006
Last updated
07/08/2007
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