Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronen Isacharov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770183915

Ronen Isacharov is a Student in an Organized Health Care Education/Training Program in Briarwood, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

14722 Hoover Ave Fl 2
Briarwood, NY 11435-2140
Phone: (347) 592-0056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 Broadway Rm 2c319, Brooklyn, NY 11206-5317 — (718) 963-8310

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062416 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770183915
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address14722 Hoover Ave Fl 2, Briarwood, NY 11435-2140

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