Organization
ALAN L NISSENBAUM MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LEON NISSENBAUM MD (CEO)
(718) 998-7592
Entity
Organization
Contact information
Practice address
2514 E 65TH ST, BROOKLYN, NY 11234-6927
(718) 998-7592
(718) 444-2834
Mailing address
2514 E 65TH ST, BROOKLYN, NY 11234-6927
(718) 998-7592
(718) 444-2834
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
177636
NY
Other
Enumeration date
02/16/2007
Last updated
04/08/2014
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