Organization
MICHAEL NISSEN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NISSEN MD (PRESIDENT)
(212) 772-7000
Entity
Organization
Contact information
Practice address
1317 3RD AVE, GROUND FLOOR, NEW YORK, NY 10021-2995
(212) 772-7000
(212) 772-7001
Mailing address
1317 3RD AVE, GROUND FLOOR, NEW YORK, NY 10021-2995
(212) 772-7000
(212) 772-7001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
188503
NY
208600000X
Surgery Physician
188503
NY
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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