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Organization
NISCHAL MEDICAL PROFESSIONAL CORPORATION
Active
Organization
NISCHAL MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV NISCHAL M.D (PRESIDENT)
(516) 499-6963
Entity
Organization
Contact information
Practice address
172 HERRICKS RD, MINEOLA, NY 11501-2206
(516) 499-6963
(516) 352-0740
Mailing address
1756 ALADDIN AVE, NEW HYDE PARK, NY 11040-4012
(516) 498-7838
(516) 352-0740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239532
NY
Other
Enumeration date
07/12/2012
Last updated
12/12/2023
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