Individual
DENA ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. OTR/L
Contact information
Practice address
34 BAYBERRY RD, LAWRENCE, NY 11559-2705
(516) 395-4855
Mailing address
34 BAYBERRY RD, LAWRENCE, NY 11559-2705
(516) 395-4855
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
010705-1
NY
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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