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Individual

DR. PAUL S ISSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
263 7TH AVE, SUITE 2B, BROOKLYN, NY 11215-3689
(718) 246-8700
(718) 246-8705
Mailing address
263 7TH AVE, SUITE 2B, BROOKLYN, NY 11215-3689
(718) 246-8700
(718) 246-8705

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
219508
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00002800765
UNITED HEALTHCARE
01
0178778
GHI
05
02892368
NY
01
0849138
CIGNA
01
100280076501
AMERICHOICE
01
1622841
AETNA HMO
01
6C6092
HEALTHNET
01
7147914
AETNA PPO
01
8725U1
BLUE SHIELD
01
P3849635
OXFORD FREEDOM, MEDICARE
Enumeration date
06/22/2007
Last updated
04/11/2008
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