# ROMAN ISAAC, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316355779
- **Authorized official:** EUDELL HAYES (CREDENTIALING)
- **Authorized official phone:** (212) 759-4553

## Contact information

- **Practice address:** 205 E 64TH ST, SUITE 402, NEW YORK, NY 10065-6635
- **Practice address phone:** (212) 759-4553
- **Practice address fax:** (212) 759-1353
- **Mailing address:** 205 E 64TH ST, SUITE 402, NEW YORK, NY 10065-6635
- **Mailing address phone:** (212) 759-4553
- **Mailing address fax:** (212) 759-1353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 275010-1 | NY | Yes |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 07/30/2014