Organization
NASSIM MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND NASSIM M.D. (PHYSICIAN)
(718) 321-9500
Entity
Organization
Contact information
Practice address
138-48 ELDER AVE., FLUSHING, NY 11355-4066
(718) 321-9500
Mailing address
1000 NORTHERN BLVD., SUITE 375, GREAT NECK, NY 11021-5312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
176223
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
279137
NY
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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