Individual
DINA ISRAELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
P90263
NY
367A00000X
Advanced Practice Midwife
Primary
F001603
NY
Other
Enumeration date
09/04/2013
Last updated
07/21/2022
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