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DR. MICHAEL NISSENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3003 NEW HYDE PARK RD, SUITE 200, NEW HYDE PARK, NY 11042-1206
(516) 488-1888
Mailing address
3003 NEW HYDE PARK RD, SUITE 200, NEW HYDE PARK, NY 11042-1206
(516) 488-1888

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
278830
NY

Other

Enumeration date
08/31/2011
Last updated
10/05/2016
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