Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N003506 | NY |
NPI | 1205990017 |
---|---|
Provider Name | Dr. Arnold Lewis Isaacson |
First Address | Jefferson Valley, NY 10535-1502 |
Second Address | Jefferson Valley, NY 10535-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51119 | (02) | NY |