Theodore N. Isseks, M.d., P.c.

NPI 1215206628 - Ophthalmology - 207W00000X

NPI Details
NPI 1215206628
Enumeration Date 12/14/2011
Last Updated 12/14/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THEODORE NATHAN THEODORE
Position OWNER/M.D.
Phone (845) 292-3011
Fax (845) 292-1821
Practice Location
5518 STATE ROUTE 55
LIBERTY NY, 12754-2830, US
Phone (845) 292-3011
Fax (845) 292-1821
Business Location
5518 STATE ROUTE 55
LIBERTY NY, 12754-2830, US
Phone (845) 292-3011
Fax (845) 292-1821
Toxanomy
Taxonomy Code 207W00000X
License State New York
License Number 117110-1
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According to our database, Theodore N. Isseks, M.d., P.c. NPI is 1215206628, taxonomy code is 207W00000X and license number is 117110-1, license state is located at New York. Theodore N. Isseks, M.d., P.c. physically located at 5518 State Route 55, Liberty NY, 12754-2830. NPI Number 1033115704 has the healthcare provider type.

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1215206628 NPI number is provided on an as is basis without warranty of any kind. 1215206628 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore N. Isseks, M.d., P.c. are for informational purposes only.