Individual
DENNIS ISECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 793-0519
(518) 793-1013
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
537205
NY
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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