Frederick William Hissiger R.N.

NPI 1083946495 - Registered Nurse - 163W00000X

NPI Details
NPI 1083946495
Gender Male
Enumeration Date 02/10/2010
Last Updated 02/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
998 CROOKED HILL RD
BRENTWOOD NY, 11717-1019, US
Phone (631) 761-3500
Fax
Business Location
17 WIGGINS ST
RONKONKOMA NY, 11779-4113, US
Phone (631) 615-6936
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 567093-1
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According to our database, Frederick William Hissiger R.N. NPI is 1083946495, taxonomy code is 163W00000X and license number is 567093-1, license state is located at New York. Frederick William Hissiger R.N. physically located at 998 Crooked Hill Rd, Brentwood NY, 11717-1019. NPI Number Frederick William Hissiger R.N. has the Individual type.

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1083946495 NPI number is provided on an as is basis without warranty of any kind. 1083946495 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick William Hissiger R.N. are for informational purposes only.