Individual
DR. IDA ISMAILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1991 MARCUS AVE, NEW HYDE PARK, NY 11042-2057
(516) 354-1600
(516) 941-4677
Mailing address
55 WATER ST FL 12, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
157451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01143773
—
NY
Enumeration date
12/19/2006
Last updated
03/17/2018
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