Individual
ISAK ISAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6260 108TH ST, 1J, FOREST HILLS, NY 11375-1356
(718) 743-7090
Mailing address
6260 108TH ST, 1J, FOREST HILLS, NY 11375-1356
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220352
NY
Other
Enumeration date
06/02/2006
Last updated
08/28/2013
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