Organization
ROMAN ISAAC, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUDELL HAYES (CREDENTIALING)
(212) 759-4553
Entity
Organization
Contact information
Practice address
205 E 64TH ST, SUITE 402, NEW YORK, NY 10065-6635
(212) 759-4553
(212) 759-1353
Mailing address
205 E 64TH ST, SUITE 402, NEW YORK, NY 10065-6635
(212) 759-4553
(212) 759-1353
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
275010-1
NY
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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