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Individual

DENISE NASSISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100TH STREET AND MADISON AVENUE, NEW YORK, NY 10029
(212) 241-0101
(212) 426-5083
Mailing address
BOX 1149, ONE GUSTAVE LEVY PLACE, NEW YORK, NY 10029
(212) 241-0101
(212) 426-5083

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1741971
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01588229
NY
01
110166627
RR MEDICARE
NY
Enumeration date
03/22/2006
Last updated
04/24/2008
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