Individual
ISABELLA LUCIA DETRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 662-3874
Mailing address
4106 CLEVELAND LN, ROCKAWAY, NJ 07866-5809
(973) 747-4894
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
034413
NY
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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