Individual
ANNE NIESENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 MINEOLA BLVD, MINEOLA, NY 11501-3917
(516) 741-4321
(516) 741-8710
Mailing address
135 MINEOLA BLVD, MINEOLA, NY 11501-3917
(516) 741-4321
(516) 741-8710
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
174021-1
NY
Other
Enumeration date
11/06/2006
Last updated
05/22/2008
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