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Stuart E Hisler M.D. PLLC

Internal Medicine in South Ozone Park, NY. Organization (NPI-2).

NPI number1790091023
StatusActive
Last updated in NPPESOct 9, 2015

Details

NPI
1790091023
Entity type
Organization (NPI-2)
Legal business name
Stuart E Hisler M.D. PLLC
Organization subpart
No
Enumeration date
Aug 24, 2010
Last updated
Oct 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

13529 Lefferts Blvd
South Ozone Park, NY 11420-3601

Phone 718-641-1100 · Fax 718-848-3554

Mailing address

13529 Lefferts Blvd
South Ozone Park, NY 11420-3601

Phone 718-641-1100 · Fax 718-848-3554

Authorized official

Stuart E Hisler
Owner
7186411100

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