Provider Demographics
NPI:1215025168
Name:ISAAC, NIKIA (CNIM)
Entity Type:Individual
Prefix:
First Name:NIKIA
Middle Name:
Last Name:ISAAC
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5617
Mailing Address - Country:US
Mailing Address - Phone:201-610-9559
Mailing Address - Fax:908-688-1999
Practice Address - Street 1:96 HUDSON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5617
Practice Address - Country:US
Practice Address - Phone:201-610-9559
Practice Address - Fax:908-688-1999
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic