Isaacson, Teofilita

Isaacson, Teofilita is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Isaacson, Teofilita can be contacted via phone (516) 663-3853.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Fax: (516) 663-8955
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 169592 New York

Profile Details

NPI number 1326069303
LBN Legal business name Isaacson, Teofilita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Mar 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326069303 NPPES
New York MEDICAID 01025823

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