Individual
NINA IZHAKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
45 WINANT AVE., RIDGEFIELD PARK, NJ 07660
(201) 440-2100
(201) 440-1279
Mailing address
161 HUDSON ST APT 4B, NEW YORK, NY 10013-2145
(212) 223-1023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
022428
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117960
—
NJ
Enumeration date
04/23/2007
Last updated
07/09/2007
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