NPI 1003124470

Susan Debra Isaacs, OTRL

Practitioner Specialist Brooklyn, NY

Practice location

Address: 670 Parkside Ave, Brooklyn, NY 11226-1506
Phone: (718) 675-1249
Fax: (718) 675-1264

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 010535-1 (NY)

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Registry record

NPI: 1003124470
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2010
Record last updated: 20 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.