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NPI Code Detail

MEDICARE: JULIA ISKHAKOV

MEDICARE: JULIA ISKHAKOV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist067554NY

General Provider Information

NPI Number : 1912575309
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ISKHAKOV
Provider Business Mailing Address
First Line : 7541 167TH ST
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11366-1326
Country : US
Telephone Number : 917-453-0790
Fax Number :
Provider Business Practice Location Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number : 914-833-4103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/14/2021

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