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1821850017
MICHAEL ISRAILOV
FAR ROCKAWAY, NY
NPI
1821850017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
MICHAEL ISRAILOV
156 BEACH 9TH ST
FAR ROCKAWAY, NY 11691-5636
Phone number: 718-686-3149
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Mailing Address
MICHAEL ISRAILOV
156 BEACH 9TH ST
FAR ROCKAWAY, NY 11691-5636
Phone number: 718-686-3149
Copy
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