Individual
AMALYA ISAKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
131 W 35TH ST FL 7, NEW YORK, NY 10001-2111
(212) 475-8066
Mailing address
131 W 35TH ST FL 7, NEW YORK, NY 10001-2111
(212) 475-8066
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307806-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4730503
—
NY
Enumeration date
01/29/2017
Last updated
05/17/2022
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