Individual
ELIZABETH ITZHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 BEVERLY RD, KEW GARDENS, NY 11415-2104
(347) 996-0325
Mailing address
8450 BEVERLY RD, KEW GARDENS, NY 11415-2104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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