Individual
ERVANT V NISHANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
218145
NY
207L00000X
Anesthesiology Physician
81166
MA
207L00000X
Anesthesiology Physician
D 0052984
MD
207L00000X
Anesthesiology Physician
MA073376
NJ
207L00000X
Anesthesiology Physician
MD31319
DC
Other
Enumeration date
07/12/2006
Last updated
03/12/2025
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