Isseroff, Avraham Z
Isseroff, Avraham Z is an sole proprietor health care provider with primary practice located at 58 Pine St , New Canaan CT 06840-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Isseroff, Avraham Z can be contacted via phone (203) 801-4331.Contact Information
Primary practice address
58 Pine St
New Canaan CT 06840-5425
Phone: (203) 801-4331
Fax: (203) 801-4331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 043641 | Connecticut |
Profile Details
| NPI number | 1659396422 |
|---|---|
| LBN Legal business name | Isseroff, Avraham Z |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659396422 | NPPES |
| Connecticut | MEDICAID | 001436410 |
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