National Provider Identifier

Isaac Edison Wilber, DO

Isaac Edison Wilber, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Watkins Glen, NY and a listed phone number of (607) 535-7873.

NPI 1588304588Watkins Glen, NYFamily Medicine Physician

Profile Overview

NPI
1588304588
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
March 30, 2022
Last Updated
March 04, 2026

Practice Location

  • 104 S Porter St
  • Watkins Glen, NY 14891-1622

Phone: (607) 535-7873

Mailing Address

  • 600 Ivy St Ste 206
  • Elmira, NY 14905-1627

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1588304588
Entity Type
Individual
Last Name
Wilber
First Name
Isaac
Middle Name
Edison
Credential
DO
Mailing Street Address
600 Ivy St Ste 206
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1627
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2071
Practice Street Address
104 S Porter St
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1622
Practice Country
US
Practice Phone
(607) 535-7873
Enumeration Date
March 30, 2022
Last Updated
March 04, 2026
Sex
Male
Sole Proprietor
No
Certification Date
March 04, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)