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Organization
THEODORE N ISSEKS MD PC
Active
Organization
THEODORE N ISSEKS MD PC
Active
Parent organization
THEODORE N ISSEKS MD PC
Other names
Family Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
THEODORE N ISSEKS MD PC
Authorized official
THEODORE NATHAN ISSEKS MD (OWNER)
(845) 292-1111
Entity
Organization
Contact information
Practice address
5518 STATE ROUTE 55, LIBERTY, NY 12754
(845) 292-1111
(845) 292-1821
Mailing address
5518 STATE ROUTE 55, LIBERTY, NY 12754
(845) 292-1111
(845) 292-1821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
117110
NY
Other
Enumeration date
05/15/2008
Last updated
07/09/2008
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