Lola Iskhakova Physician Pllc | |
9916 97th St Ozone Park NY 11416-2509 | |
(347) 420-3353 | |
(718) 236-1055 |
Full Name | Lola Iskhakova Physician Pllc |
---|---|
Speciality | Internal Medicine |
Location | 9916 97th St, Ozone Park, New York |
Authorized Official Name and Position | Lola Iskhakova (MD) |
Authorized Official Contact | 3474203353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lola Iskhakova Physician Pllc 6520 Booth St # 3b Rego Park NY 11374-4084 Ph: (347) 420-3353 | Lola Iskhakova Physician Pllc 9916 97th St Ozone Park NY 11416-2509 Ph: (347) 420-3353 |
NPI Number | 1700232857 |
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Provider Enumeration Date | 05/08/2016 |
Last Update Date | 05/08/2016 |
Medicare PECOS PAC ID | 0547537631 |
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Medicare Enrollment ID | O20170519001783 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700232857 | NPI | - | NPPES |
273766 | Other | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lola Borisovna Iskhakova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003157058 PECOS PAC ID: 0941526834 Enrollment ID: I20150312001177 |
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