Individual
DR. MIKHAIL P RISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 AVENUE Z, BROOKLYN, NY 11235-5105
(718) 769-7191
(718) 769-9075
Mailing address
1021 AVENUE Z, BROOKLYN, NY 11235-5105
(718) 769-7191
(718) 769-9075
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
158905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00840446
—
NY
Enumeration date
10/27/2006
Last updated
03/25/2016
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