Individual
DR. ISAAC MADEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2241 OCEAN AVE, BROOKLYN, NY 11229-2303
(718) 375-3746
(718) 336-3841
Mailing address
2241 OCEAN AVE, BROOKLYN, NY 11229-2303
(718) 375-3746
(718) 336-3841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
122260
NY
208800000X
Urology Physician
Primary
122260
NY
363A00000X
Physician Assistant
122260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399913
—
NY
01
—
IM07241610
BLUE CROSS & BLUE SHIELD
NY
01
—
KS188
OXFORD
NY
Enumeration date
07/26/2005
Last updated
02/06/2015
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