Healthcare Provider Details

I. General information

NPI: 1427625920
Provider Name (Legal Business Name): ISAAC Y GEE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 7TH AVE FL 14
NEW YORK NY
10018-4603
US

IV. Provider business mailing address

21611 48TH AVE APT 3B
BAYSIDE NY
11364-1311
US

V. Phone/Fax

Practice location:
  • Phone: 212-768-7979
  • Fax: 212-768-1223
Mailing address:
  • Phone: 516-776-2757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number013369
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: