VADIM IZGUR

THE LONG ISLAND HOME

Dr VADIM IZGUR is a male medical professional, specializing in Psychiatry. He graduated in 2006 from University Of Kansas School Of Medicine.

Contact

THE LONG ISLAND HOME

400 SUNRISE HWY
AMITYVILLE
NY
117012508

Tel: 6316085149

VADIM IZGUR Information

Npi 1780849125
Pac Id 7810184363
Professional Enrollment Id I20101209000260
Last Name IZGUR
First Name VADIM
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE LONG ISLAND HOME
Group Practice Pac Id 8224055108
Number Of Group Practice Members 18
Line 1 Street Address 400 SUNRISE HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AMITYVILLE
State NY
Zip Code 117012508
Phone Number 6316085149
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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