ROBERT S NISSAN

NORTHPORT, NY
NPI1669479010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  131824)
Enumeration Date2005-06-30
Last Update Date2010-03-24
Business Address
-- ROBERT S NISSAN M.D.
325 MAIN ST
NORTHPORT, NY 11768-1790
Phone number: 631-261-4445
Mailing Address
-- ROBERT S NISSAN M.D.
325 MAIN ST
NORTHPORT, NY 11768-1790
Phone number: 631-261-4445
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