| Doctor Name: | ANGEL LARISSA ISAAC |
| NPI Number: | 1730529819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGACNP |
| License Number: | 9285831 |
| Business Practice Address: | 63 Tanglewood Dr South Glens Falls, NY - 128035432 |
| Business Phone Number: | 8134828957 |
| Business Fax Number: | |
| Mailing Address: | 63 Tanglewood Dr, SOUTH GLENS FALLS |
| State: | NY |
| Postal Code: | 128035432 |
| Phone Number: | 8134828957 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2013 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 9285831 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |