Isacoff, Mark

Isacoff, Mark is an sole proprietor health care provider with primary practice located at 1047 Robin Rd , Franklin Square NY 11010-1729. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Isacoff, Mark can be contacted via phone (516) 825-2217.

Contact Information

Primary practice address
1047 Robin Rd Franklin Square NY 11010-1729
Phone: (516) 825-2217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009895 New York
Behavioral Health & Social Service Providers / School 103TS0200X New York

Profile Details

NPI number 1972589463
LBN Legal business name Isacoff, Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Aug 27th, 2010 - about 14 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 1972589463 NPPES
New York Other 6804070 GHI PROVIDER NUMBER

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