Individual
ILANA SISKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
656 ZOLA ST, WOODMERE, NY 11598-2808
(516) 375-5287
Mailing address
656 ZOLA ST, WOODMERE, NY 11598-2808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
296951
NY
Other
Enumeration date
09/23/2014
Last updated
04/05/2021
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