Individual
DANIEL NEISSANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 ROOSEVELT AVE, CARTERET, NJ 07008-1536
(732) 541-2233
(732) 541-2234
Mailing address
41 W 33RD ST, BAYONNE, NJ 07002-3907
(201) 315-0915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01254900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00435904
RAILROAD MEDICARE
NJ
Enumeration date
08/29/2007
Last updated
03/02/2012
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