Maksim Nisenboym, PA

NPI #1063785863 in Briarwood, New York

Provider Information

NPI Number
1063785863
Entity Type
Individual
Name
Maksim Nisenboym, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 10, 2012
Last Updated
Feb 10, 2012

Practice Location

Address
14755 HOOVER AVE
ZIP Code
11435-2139
Phone
(718) 523-5674

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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