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Individual

DR. JANE ISAKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
10306 ROOSEVELT AVE, CORONA, NY 11368-2330
(718) 424-1333
Mailing address
9952 66TH RD APT 1R, REGO PARK, NY 11374-4425

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007278
NY

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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