Individual
OLEG ISKHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1831
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1831
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012876
NY
Other
Enumeration date
04/29/2009
Last updated
01/17/2024
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