Individual
DR. ELLEN S ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 W 106TH ST, 14E, NEW YORK, NY 10025-3620
(646) 265-5003
Mailing address
207 W 106TH ST, 14E, NEW YORK, NY 10025-3620
(646) 265-5003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
106848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554114
—
NY
Enumeration date
06/18/2006
Last updated
04/30/2014
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