Individual
DR. TOVA FISCHER ISSEROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
134 MINEOLA BLVD, SUITE 200, MINEOLA, NY 11501-3959
(516) 294-9363
(516) 294-6228
Mailing address
134 MINEOLA BLVD, SUITE 200, MINEOLA, NY 11501-3959
(516) 294-9363
(516) 294-6228
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
258361
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03819394
—
NY
Enumeration date
04/28/2010
Last updated
05/24/2021
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