Robert S Nissan, M.D.

NPI #1669479010 in Northport, New York

Provider Information

NPI Number
1669479010
Entity Type
Individual
Name
Robert S Nissan, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Jun 30, 2005
Last Updated
Mar 24, 2010

Practice Location

Address
325 MAIN ST
ZIP Code
11768-1790
Phone
(631) 261-4445

Specialties & Taxonomy Codes

Specialty
Family Medicine

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