Organization
THEODORE N. ISSEKS, M.D., P.C.
Active
Other names
Theodore N. Isseks, M.D. , P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE NATHAN ISSEKS M.D. (OWNER/M.D.)
(845) 292-3011
Entity
Organization
Contact information
Practice address
5518 STATE ROUTE 55, LIBERTY, NY 12754-2830
(845) 292-3011
(845) 292-1821
Mailing address
5518 STATE ROUTE 55, LIBERTY, NY 12754-2830
(845) 292-3011
(845) 292-1821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
117110-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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