Individual
ALEX ISKHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFTS
Contact information
Practice address
3922 18TH AVE, BROOKLYN, NY 11218-5804
(718) 438-6954
Mailing address
3922 18TH AVE, BROOKLYN, NY 11218-5804
(718) 438-6954
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFTS0152
NY
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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