Individual
DR. PAUL S ISSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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