Individual
DR. DANIELLE ISENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1240 ULSTER AVE STE 104, KINGSTON, NY 12401-1517
(845) 768-1990
Mailing address
1240 ULSTER AVE STE 104, KINGSTON, NY 12401-1517
(845) 768-1990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306738
NY
Other
Enumeration date
04/10/2017
Last updated
10/13/2020
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