Individual
OREN K ISACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
19 E 80TH ST, NEW YORK, NY 10075-0117
(917) 445-9659
Mailing address
19 E 80TH ST, NEW YORK, NY 10075-0117
(917) 445-9659
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
133407
CA
208D00000X
General Practice Physician
Primary
280685
NY
Other
Enumeration date
06/12/2013
Last updated
06/25/2015
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