Provider Demographics
NPI:1316278393
Name:ARONOV, IOSIF (MD)
Entity type:Individual
Prefix:
First Name:IOSIF
Middle Name:
Last Name:ARONOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6384 SAUNDERS ST
Mailing Address - Street 2:APT 2U
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3108
Mailing Address - Country:US
Mailing Address - Phone:516-369-0324
Mailing Address - Fax:718-233-2720
Practice Address - Street 1:6384 SAUNDERS ST
Practice Address - Street 2:APT 2U
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3108
Practice Address - Country:US
Practice Address - Phone:516-369-0324
Practice Address - Fax:718-233-2720
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine