# THEODORE N. ISSEKS, M.D., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Theodore N. Isseks, M.D. , P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215206628
- **Authorized official:** DR. THEODORE NATHAN ISSEKS M.D. (OWNER/M.D.)
- **Authorized official phone:** (845) 292-3011

## Contact information

- **Practice address:** 5518 STATE ROUTE 55, LIBERTY, NY 12754-2830
- **Practice address phone:** (845) 292-3011
- **Practice address fax:** (845) 292-1821
- **Mailing address:** 5518 STATE ROUTE 55, LIBERTY, NY 12754-2830
- **Mailing address phone:** (845) 292-3011
- **Mailing address fax:** (845) 292-1821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 117110-1 | NY | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 12/14/2011