Individual
SIGALIT SHOSHANA ITSHAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 UTOPIA PKWY, WHITESTONE, NY 11357-3346
(718) 229-5050
Mailing address
13784 70TH AVE, FLUSHING, NY 11367-1926
(347) 264-6215
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1190035171
NY
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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