Individual
CARRIE ISAACMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PARK TER E APT D22, NEW YORK, NY 10034-0719
(917) 474-5936
Mailing address
75 PARK TER E APT D22, NEW YORK, NY 10034-0719
(917) 474-5936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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