Individual
NISSIM BASSOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 OCEAN PKWY, BROOKLYN, NY 11235-6132
(718) 496-4607
(718) 382-1920
Mailing address
2490 OCEAN PKWY, BROOKLYN, NY 11235-6132
(718) 496-4607
(718) 382-1920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1861601
NY
Other
Enumeration date
04/11/2006
Last updated
01/10/2022
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