Provider Demographics
NPI:1952002701
Name:ISAACS, EPIPHANY ABIGAIL
Entity Type:Individual
Prefix:
First Name:EPIPHANY
Middle Name:ABIGAIL
Last Name:ISAACS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2663
Mailing Address - Country:US
Mailing Address - Phone:716-373-2716
Mailing Address - Fax:716-373-2516
Practice Address - Street 1:265 N UNION ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2663
Practice Address - Country:US
Practice Address - Phone:716-373-2716
Practice Address - Fax:716-373-2516
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician