Individual
MRS. DEBRA L ISELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1702
Mailing address
115 APPLEWOOD DR, ILION, NY 13357-9732
(315) 895-0038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03396361
—
NY
Enumeration date
08/23/2011
Last updated
12/09/2016
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