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Dr. Michael H Brisman, M.D.

Specialist in Rockville Centre, NY. Individual provider (NPI-1).

NPI number1255355475
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1255355475
Entity type
Individual (NPI-1)
Name
Dr. Michael H Brisman
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist194149-1NYYes

Practice location

100 Merrick Rd
Suite 128 W
Rockville Centre, NY 11570-4800

Phone 516-255-9031 · Fax 516-255-6230

Mailing address

100 Merrick Rd
Suite 128 W
Rockville Centre, NY 11570-4800

Phone 516-255-9031 · Fax 516-255-6230

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