Organization
FARRA ISAACSON, DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRA ISAACSON DDS (ONWER/DENTIST)
(631) 696-3820
Entity
Organization
Contact information
Practice address
1150 PORTION RD, SUITE 15, HOLTSVILLE, NY 11742-1074
(631) 696-3820
(631) 696-7780
Mailing address
1150 PORTION RD, SUITE 15, HOLTSVILLE, NY 11742-1074
(631) 696-3820
(631) 696-7780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249296
—
NY
Enumeration date
03/30/2017
Last updated
03/30/2017
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