Individual
DR. SHIRA NISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
30 E 40TH ST, 203, NEW YORK, NY 10016-1201
(212) 889-3550
Mailing address
30 E 40TH ST, RM 203, NEW YORK, NY 10016-1248
(212) 889-3550
(212) 696-1190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007881
NY
Other
Enumeration date
06/27/2012
Last updated
11/14/2018
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