O. Isom
Cardiothoracic Vascular Surgeon
525 E 68th St M404
New York
, New York 10065-4870
O. Isom
Cardiothoracic Vascular Surgeon
525 E 68th St M404
New York
, New York 10065-4870
(212) 746-5151
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- O. Isom
- 525 E 68th St # M-404
- New York, NY
- Zip : 10065-4870
- Phone : (212) 746-5151
Second Address
- O. Isom
- 525 E 68th St M404
- New York, NY
- Zip : 10065-4870
- Phone : (212) 746-5151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 105919 | NY |
National Provider Identifier
| NPI | 1124115209 |
|---|---|
| Provider Name | O. Isom |
| First Address | New York, NY 10065-4870 |
| Second Address | New York, NY 10065-4870 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2006 |
| Last Update Date | 10/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.