Provider Demographics
NPI:1902194251
Name:BAR, ISAAC (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:BAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 YORK AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6841
Mailing Address - Country:US
Mailing Address - Phone:212-530-3020
Mailing Address - Fax:
Practice Address - Street 1:1737 YORK AVE
Practice Address - Street 2:UNIT 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6841
Practice Address - Country:US
Practice Address - Phone:212-530-3020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058096-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist