Individual
MRS. EMMA IZRAILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2424
(718) 334-5845
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2424
(718) 334-5845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343812-1
NY
Other
Enumeration date
01/28/2019
Last updated
02/03/2020
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