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Organization

PROFESSIONAL FAMILY HEALTH NP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA ISAKOV NP (NP)
(917) 822-6400
Entity
Organization

Contact information

Practice address
86100 MARENGO ST, HOLLIS, NY 11423-1437
(917) 822-6400
Mailing address
7635 168TH ST, FRESH MEADOWS, NY 11366-1333

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
07/13/2026
Last updated
07/22/2026
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