Individual
ATARA NISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
215 W 95TH ST APT 3L, NEW YORK, NY 10025-6340
(917) 364-0810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022340
NY
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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