ROBERT NISSAN, M.D.

Family Medicine

Active Individual
NPI: 1669479010

Practice Address

325 MAIN ST
Northport, NY 11768

Phone: (631) 261-4445

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 131824 (NY)

Frequently Asked Questions

NPI 1669479010 is the National Provider Identifier for ROBERT NISSAN, M.D., a Family Medicine provider located in Northport, NY. This NPI was enumerated on June 30, 2005.
ROBERT NISSAN, M.D. practices at 325 MAIN ST, Northport, NY 11768.

Quick Facts

NPI
1669479010
Type
Individual
Enumerated
Jun 30, 2005
Last Updated
Mar 24, 2010

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