Individual
DR. NICHOLAS J NISSIRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20020 44TH AVE FL 2, BAYSIDE, NY 11361-2658
(718) 423-2020
Mailing address
20020 44TH AVE FL 2, BAYSIDE, NY 11361-2658
(718) 423-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
259882
NY
Other
Enumeration date
12/26/2010
Last updated
02/27/2024
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