Individual
LOUISE ISENBERG DALLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(315) 782-2620
Mailing address
1116 ARSENAL ST, SUITE #504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
164861-1
NY
Other
Enumeration date
02/15/2007
Last updated
07/09/2007
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