Individual
DANIEL ISAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 992-7669
Mailing address
1276 FULTON AVE, RM 219, BRONX, NY 10456-3402
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026990
NY
Other
Enumeration date
12/19/2019
Last updated
11/10/2021
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