Individual
ALAN MICHAEL KISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E MAIN ST, HUNTINGTON, NY 11743-2816
(631) 424-4004
(631) 424-4027
Mailing address
100 E MAIN ST, HUNTINGTON, NY 11743-2816
(631) 424-4004
(631) 424-4027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1216841
NY
Other
Enumeration date
11/08/2005
Last updated
06/18/2008
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