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Individual

HANY G NISSIEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
6565 FOURTH SECTION RD, SUITE 300, BROCKPORT, NY 14420-2416
(585) 395-0620
(585) 395-0622
Mailing address
6565 FOURTH SECTION RD, SUITE 300, BROCKPORT, NY 14420-2416
(585) 395-0620
(585) 395-0622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227675
NY

Other

Enumeration date
05/27/2006
Last updated
05/24/2016
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