Individual
NAIRA ISAKHAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9120 ATLANTIC AVE, OZONE PARK, NY 11416-1527
(718) 641-8207
Mailing address
9120 ATLANTIC AVE, OZONE PARK, NY 11416-1527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
289796
NY
Other
Enumeration date
06/22/2015
Last updated
10/12/2017
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