Alan L Nissenbaum Medical Services, Pc

NPI 1053455998 - Internal Medicine - 207RN0300X

NPI Details
NPI 1053455998
Enumeration Date 02/16/2007
Last Updated 04/08/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN LEON ALAN
Position CEO
Phone (718) 998-7592
Fax (718) 444-2834
Practice Location
2514 E 65TH ST
BROOKLYN NY, 11234-6927, US
Phone (718) 998-7592
Fax (718) 444-2834
Business Location
2514 E 65TH ST
BROOKLYN NY, 11234-6927, US
Phone (718) 998-7592
Fax (718) 444-2834
Toxanomy
Taxonomy Code 207RN0300X
License State New York
License Number 177636
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According to our database, Alan L Nissenbaum Medical Services, Pc NPI is 1053455998, taxonomy code is 207RN0300X and license number is 177636, license state is located at New York. Alan L Nissenbaum Medical Services, Pc physically located at 2514 E 65th St, Brooklyn NY, 11234-6927. NPI Number 1033115704 has the healthcare provider type.

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1053455998 NPI number is provided on an as is basis without warranty of any kind. 1053455998 is maintained by the National Plan & Provider Enumeration System. The contents of Alan L Nissenbaum Medical Services, Pc are for informational purposes only.