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Organization
JULIE NISSIM DO PC
Active
Organization
JULIE NISSIM DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NISSIM DO (OWNER)
(917) 254-4872
Entity
Organization
Contact information
Practice address
25 5TH AVE, UNIT 1F, NEW YORK, NY 10003-4307
(917) 254-4872
(917) 254-4873
Mailing address
25 5TH AVE, UNIT 1F, NEW YORK, NY 10003-4307
(917) 254-4872
(917) 254-4873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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