Individual
DR. STACEY F. BRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 GLEN COVE RD, GREENVALE, NY 11548-1062
(516) 200-3545
(516) 876-8010
Mailing address
PO BOX 1153, SYOSSET, NY 11791-0489
(516) 621-1982
(516) 621-1340
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2395481
NY
Other
Enumeration date
08/19/2008
Last updated
08/20/2019
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