Provider Demographics
NPI:1205990017
Name:ISAACSON, ARNOLD LEWIS (DPM)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:LEWIS
Last Name:ISAACSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 HILL BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:JEFFERSON VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10535-1502
Mailing Address - Country:US
Mailing Address - Phone:914-962-5571
Mailing Address - Fax:914-962-5574
Practice Address - Street 1:3630 HILL BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1502
Practice Address - Country:US
Practice Address - Phone:914-962-5571
Practice Address - Fax:914-962-5574
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003506213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPFW061Medicare ID - Type Unspecified
NYT51119Medicare UPIN