Healthcare Provider Details

I. General information

NPI: 1013849454
Provider Name (Legal Business Name): ISABELLA LENNERT-BARNES-DACEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 W 71ST ST
NEW YORK NY
10023-4112
US

IV. Provider business mailing address

342 7TH AVE APT 4
BROOKLYN NY
11215-8107
US

V. Phone/Fax

Practice location:
  • Phone: 718-715-6896
  • Fax:
Mailing address:
  • Phone: 718-715-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: