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Individual

GEORGE ISAAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14620 HAWTHORNE AVE, FLUSHING, NY 11355-2238
(718) 539-3386
Mailing address
14620 HAWTHORNE AVE, FLUSHING, NY 11355-2238
(718) 539-3386

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
71577
MA
2084P0804X
Child & Adolescent Psychiatry Physician
150947
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01221383
NY
Enumeration date
03/23/2006
Last updated
07/22/2013
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