Individual
DR. JOSHUA P ISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
16 E 16TH ST, NEW YORK, NY 10003-3105
(212) 206-5200
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229194
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
11/16/2006
Last updated
12/01/2014
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