Doctor Name: | LYUDMILA ISKHAKOVA |
NPI Number: | 1073979605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 586140 |
Business Practice Address: | 3711 Queens Blvd Long Island City, NY - 111011725 |
Business Phone Number: | 7183615100 |
Business Fax Number: | |
Mailing Address: | 3711 Queens Blvd, LONG ISLAND CITY |
State: | NY |
Postal Code: | 111011725 |
Phone Number: | 7183615100 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 586140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |