Individual
JEFFREY NISSINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WEILER - REHAB MEDICINCE, 1825 EASTCHESTER ROAD, BRONX, NY 10461
(718) 904-2296
Mailing address
330 CLAFLIN AVE, MAMARONECK, NY 10543-3904
(718) 904-2296
(718) 904-2846
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
203752
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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