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Dr. Stacey F. Brisman, M.D.

Dermatology in Great Neck, NY. Individual provider (NPI-1).

NPI number1679720825
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1679720825
Entity type
Individual (NPI-1)
Name
Dr. Stacey F. Brisman
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 19, 2008
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology2395481NYYes

Practice location

1000 Northern Blvd Ste 140
Great Neck, NY 11021-5312

Phone 516-846-3300 · Fax 516-846-3305

Mailing address

1000 Northern Blvd Ste 140
Great Neck, NY 11021-5312

Phone 516-846-3300 · Fax 516-846-3305

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