Madeb, Isaac
Madeb, Isaac is an sole proprietor health care provider with primary practice located at 2241 Ocean Ave , Brooklyn NY 11229-2303. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Madeb, Isaac can be contacted via phone (718) 375-3746.Contact Information
Primary practice address
2241 Ocean Ave
Brooklyn NY 11229-2303
Phone: (718) 375-3746
Fax: (718) 336-3841
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 122260 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 122260 | New York |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 122260 | New York |
Profile Details
NPI number | 1467452086 |
---|---|
LBN Legal business name | Madeb, Isaac |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2005 |
Last updated | Feb 6th, 2015 - about 10 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 | 1467452086 | NPPES |
New York | MEDICAID | 00399913 | |
New York | Other | IM07241610 | |
New York | Other | KS188 |
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