MRS. AMALYA ISAKOVA


Address: 76 Baltic Ave, Staten Island, NY 10304-4403
Phone: 6463389106

MRS. AMALYA ISAKOVA (NPI# 1467999409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467999409
Entity Type Individual
Full Name MRS. AMALYA ISAKOVA
Practice Address 76 Baltic Ave
Staten Island
NY 10304-4403
Practice Telephone 6463389106
Mailing Telephone 6463389106
Enumeration Date 2017-01-29
Last Update Date 2017-01-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F307806-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 76 BALTIC AVE
City STATEN ISLAND
State NY
Zip Code 10304-4403

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City STATEN ISLAND
Zip Code 10304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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