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Individual

DR. FARRA MARLENE ISAACSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1150 PORTION RD, SUITE 15, HOLTSVILLE, NY 11742
(631) 696-3820
(631) 696-7780
Mailing address
1150 PORTION RD., SUITE 15, HOLTSVILLE, NY 11742
(631) 696-3820
(631) 696-7780

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049280
NY

Other

Enumeration date
02/03/2006
Last updated
11/05/2020
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