Individual
MR. ALEX ISANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 NEW UTRECHT AVE, BROOKLYN, NY 11219-3418
(718) 871-5663
(718) 871-5663
Mailing address
4920 NEW UTRECHT AVE, BROOKLYN, NY 11219-3418
(718) 871-5663
(718) 871-5663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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