Individual
DR. AVNER ISMAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4016 NATIONAL ST, CORONA, NY 11368-2321
(718) 507-0442
Mailing address
4016 NATIONAL ST, CORONA, NY 11368-2321
(718) 507-0442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52755
NY
Other
Enumeration date
12/09/2008
Last updated
02/23/2010
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