Individual
ALISON ISMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
Mailing address
223 WILTSIE CT, WYCKOFF, NJ 07481-2974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007382
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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