Healthcare Provider Details

I. General information

NPI: 1700589876
Provider Name (Legal Business Name): HANNAH LAUREN ISAKOWITZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1262 OCEAN PKWY
BROOKLYN NY
11230-5102
US

IV. Provider business mailing address

100 S 9TH ST APT 501
BROOKLYN NY
11249-6253
US

V. Phone/Fax

Practice location:
  • Phone: 571-262-9351
  • Fax:
Mailing address:
  • Phone: 571-262-9351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number034844
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: