Provider Demographics
NPI:1295300796
Name:ELYSEE, ISAAC FRANCIS
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:FRANCIS
Last Name:ELYSEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 CIVIC CENTER BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4310
Mailing Address - Country:US
Mailing Address - Phone:215-662-4740
Mailing Address - Fax:
Practice Address - Street 1:3600 CIVIC CENTER BLVD FL 4
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4310
Practice Address - Country:US
Practice Address - Phone:215-662-4740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS