Individual
IOSIF PILOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7649 HEWLETT ST, NEW HYDE PARK, NY 11040-1429
(212) 388-1903
Mailing address
9826 64TH AVE APT 8D, REGO PARK, NY 11374-2508
(917) 704-4380
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000
FEDELIS
NY
Enumeration date
02/10/2023
Last updated
02/10/2023
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