Individual
ANATOLY PISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 AVENUE L, BROOKLYN, NY 11230-5002
(718) 859-3499
Mailing address
1919 E 27TH ST, BROOKLYN, NY 11229-2536
(718) 339-3079
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
210766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911760
—
NY
Enumeration date
08/09/2005
Last updated
02/11/2014
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