# MARJORIE J ISDITH DO PC

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

## Provider details

- **NPI number:** 1720253487
- **Authorized official:** DR. MARJORIE J ISDITH D.O. (PHYSICIAN)
- **Authorized official phone:** (516) 795-5700

## Contact information

- **Practice address:** 20 HICKSVILLE RD, SUITE 5, MASSAPEQUA, NY 11758-5819
- **Practice address phone:** (516) 795-5700
- **Practice address fax:** (516) 795-5701
- **Mailing address:** 20 HICKSVILLE RD, SUITE 5, MASSAPEQUA, NY 11758-5819
- **Mailing address phone:** (516) 795-5700
- **Mailing address fax:** (516) 795-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 197492 | NY | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 05/28/2008