Individual
DR. SHELDON A ISAACSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4720
(315) 464-4905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169384
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
169384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00372225
—
NY
05
—
01140385
—
NY
01
—
050011987
RAILROAD MEDICARE
NY
01
—
2222
BLUE SHIELD GROUP#
NY
01
—
5302357
GHI PROVIDER#
—
01
—
7615121
AETNA PROVIDER#
NY
01
—
G0189393590
BLUE CHOICE GROUP#
NY
01
—
G0189393591
BLUE CHOICE PAIN GROUP#
NY
01
—
MDA543
PREFERRED CARE
NY
01
—
MDG078
PREFERRED CARE PAIN#
NY
01
—
P010169384
BLUE CHOICE
NY
Enumeration date
07/17/2006
Last updated
10/25/2007
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