Individual
DENISE NEISSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
8601 101ST AVE, OZONE PARK, NY 11416-2110
(516) 848-4220
Mailing address
8601 101ST AVE, OZONE PARK, NY 11416-2110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015518-1
NY
Other
Enumeration date
07/13/2012
Last updated
07/20/2020
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