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1609948884
STEPHEN G SISSELMAN
MASSAPEQUA, NY
NPI
1609948884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 216161)
Enumeration Date
2006-11-14
Last Update Date
2022-10-12
Business Address
STEPHEN G SISSELMAN DO
627 BROADWAY STE 1
MASSAPEQUA, NY 11758-5031
Phone number: 516-308-4040
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Mailing Address
STEPHEN G SISSELMAN DO
627 BROADWAY SUITE 1
MASSAPEQUA, NY 11758-5031
Phone number: 516-308-4040
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