Provider Demographics
NPI:1881346476
Name:DOC AT YOUR DOORSTEP LLC
Entity type:Organization
Organization Name:DOC AT YOUR DOORSTEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHERIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HILLEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSEROFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-868-6633
Mailing Address - Street 1:297 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3334
Mailing Address - Country:US
Mailing Address - Phone:917-868-6633
Mailing Address - Fax:
Practice Address - Street 1:297 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3334
Practice Address - Country:US
Practice Address - Phone:917-868-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty