# ALISA KAMMERMAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013728583
- **Authorized official:** ALISA KAMMERMAN MD (OWNER)
- **Authorized official phone:** (917) 412-7611

## Contact information

- **Practice address:** 547 BARNARD AVE, WOODMERE, NY 11598-2707
- **Practice address phone:** (917) 412-7611
- **Mailing address:** 547 BARNARD AVE, WOODMERE, NY 11598-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025