# SUSANNA ISAACS DDS, PC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992384457
- **Authorized official:** DR. SUSANNA ISAACS DDS (DENTIST/OWNER)
- **Authorized official phone:** (718) 510-2255

## Contact information

- **Practice address:** 143 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577
- **Practice address phone:** (718) 510-2255
- **Mailing address:** 54-40 LITTLE NECK PKWY APT\#3F, LITTLE NECK, NY 11362
- **Mailing address phone:** (718) 510-2255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2021
- **Last updated:** 04/03/2021