MEDICARE: DANIELA ISAKOV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	358760	NY

General Provider Information

NPI Number	:	1801746946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA ISAKOV

Provider Business Mailing Address
First Line	:	8532 123RD ST
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3317
Country	:	US
Telephone Number	:	516-439-8928
Fax Number	:

Provider Business Practice Location Address
First Line	:	8532 123RD ST
Second Line	:
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3317
Country	:	US
Telephone Number	:	516-439-8928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ DANIELA ISAKOV ” Practice Location

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