Individual
SIDNEY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
801 COOP CITY BLVD, BRONX, NY 10452
(718) 239-6500
Mailing address
1645 GRAND CONCOURSE APT 6E, BRONX, NY 10452-5832
(347) 200-1957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005309
NY
Other
Enumeration date
11/15/2023
Last updated
12/04/2023
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