Individual
BASANDA ISRAILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC CDCES
Contact information
Practice address
422 NOCELLA CT, WEST HEMPSTEAD, NY 11552-3022
(347) 301-7994
Mailing address
422 NOCELLA CT, WEST HEMPSTEAD, NY 11552-3022
(347) 301-7994
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
649001
NY
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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