Provider Demographics
NPI:1598160210
Name:ADUSEI, ISAAC
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:ADUSEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 LAFAYETTE AVE
Mailing Address - Street 2:APT 22G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2749
Mailing Address - Country:US
Mailing Address - Phone:818-205-8178
Mailing Address - Fax:
Practice Address - Street 1:1880 LAFAYETTE AVE
Practice Address - Street 2:APT 22G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2749
Practice Address - Country:US
Practice Address - Phone:818-205-8178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3201611164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse