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Shon Anthony Isaacs Jr.

Registered Nurse in Bay Shore, NY. Individual provider (NPI-1).

NPI number1245000397
StatusActive
Last updated in NPPESJul 11, 2024

Details

NPI
1245000397
Entity type
Individual (NPI-1)
Name
Mr. Shon Anthony Isaacs Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 8, 2024
Certification date
Jul 11, 2024
Last updated
Jul 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse900974NYYes

Practice location

1380 Chicago Ave
Bay Shore, NY 11706-4608

Phone 631-383-4708

Mailing address

1380 Chicago Ave
Bay Shore, NY 11706-4608

Phone 631-383-4708

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