Individual provider · Type 1 NPI

Alex Isanov

Specialist · Brooklyn, NY

NPI number 1962564633 Active

Practice location

4920 New Utrecht Ave
Brooklyn, NY 11219-3418

Call (718) 871-5663 Map

Fax (718) 871-5663

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962564633

Alex Isanov's National Provider Identifier is 1962564633, issued on Dec 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.