Individual
ALICIA LYNN ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
79 PENN ST, LAKE GROVE, NY 11755-3104
(631) 662-2643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/16/2021
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