KEVIN JOSEPH NISSEN

NORTHPORT, NY
NPI1245093616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
Dr. KEVIN JOSEPH NISSEN Ph.D.
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
Mailing Address
Dr. KEVIN JOSEPH NISSEN Ph.D.
PO BOX 34
HOLTSVILLE, NY 11742-0034
Phone number: 631-578-9526