Individual
DANIELA ISKHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7543 184TH ST, FRESH MEADOWS, NY 11366-1714
(347) 303-1060
Mailing address
7543 184TH ST, FRESH MEADOWS, NY 11366-1714
(347) 303-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024003-01
NY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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