Doctor Name: | OREN K ISACOFF |
NPI Number: | 1407294408 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MBA |
License Number: | 133407 |
Business Practice Address: | 19 E 80th St New York, NY - 100750117 |
Business Phone Number: | 9174459659 |
Business Fax Number: | |
Mailing Address: | 19 E 80th St, NEW YORK |
State: | NY |
Postal Code: | 100750117 |
Phone Number: | 9174459659 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 133407 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |