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Individual

ALYX ISAACSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 ROUTE 111 STE 2, SMITHTOWN, NY 11787-3754
(631) 920-8306
Mailing address
11 ROUTE 111 STE 2, SMITHTOWN, NY 11787-3754

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/12/2019
Last updated
09/12/2019
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