Healthcare Provider Details

I. General information

NPI: 1043825821
Provider Name (Legal Business Name): ISABELLE VROD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 5TH AVE RM 1003
NEW YORK NY
10016-6639
US

IV. Provider business mailing address

305 E 72ND ST APT 2BN
NEW YORK NY
10021-4603
US

V. Phone/Fax

Practice location:
  • Phone: 561-901-7242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: