ALAN L NISSENBAUM MEDICAL SERVICES PC
Osteopathic Medicine at Avenue V, Brooklyn, NY

License number
New York 177636
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. ALAN L NISSENBAUM MD
Title: PRESIDENT
Phone: (516) 877-4013
Address
Address
3915 Avenue V #104, Brooklyn, NY 11234
National Provider ID: 1528254067
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALAN L. NISSENBAUM MEDICAL SERVICES, PC

2514 E 65 St, Brooklyn, NY 11234

Status:
Inactive
Industry:
Services-Misc
Registration:
May 31, 2001
State ID:
2645025
Business type:
Domestic Professional Corporation
Chief Executive Officer, President, Principals:
Md Alan L Nissenbaum, 2514 E 65 St, Brooklyn, NY 11234 (Physical),Alan L. Nissenbaum Chief Executive Officer, President, Principal, inactive

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