Male or Other

Dr. Igor Izrailtyan M.D.

Anesthesiology Physician in Stony Brook, NY(View on Map)

Full Name

Dr. Igor Izrailtyan M.D.

NPI Number

1457366387

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/29/2006

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

236026

Contact
Information

Purpose

Mailing
Location

Address

P.O. BOX 1559
HEALTH SCIENCES CENTER, L4, #060

City

Stony Brook
Stony Brook

State

NY
NY

Postal Code

11790
11794-8480

Country

US
US

Telephone Number

N/A
(631) 444-2975

Identifiers

Identifier

0781T1
02665025

Identifier State

NY
NY

Identifier Issuer

EMPIRE BC.BS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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