Provider Demographics
NPI:1164828141
Name:ISAAKOVA, JULIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ISAAKOVA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 AVENUE O
Mailing Address - Street 2:APT. 4B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6686
Mailing Address - Country:US
Mailing Address - Phone:646-508-3345
Mailing Address - Fax:
Practice Address - Street 1:1229 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3515
Practice Address - Country:US
Practice Address - Phone:347-597-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist