location
search-icon
person
Robert S Nissan, MD
Family Medicine Physician in Northport, New York
NPI 1669479010

Robert S Nissan is a Family Medicine Physician based in Northport, NY. Robert S Nissan practices in Northport, NY and has the professional credentials of MD. The NPI Number for Robert S Nissan is 1669479010 and holds a License No. 131824 (New York).

The current practice location address for Robert S Nissan is 325 Main St, Northport, NY and can be reached out via phone at 631-261-4445 and via fax at 631-261-3710.

Location: 325 Main St, Northport, NY, 11768-1790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669479010
Provider Name
Robert S Nissan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 Main St, Northport, NY, 11768-1790
Phone Number
631-261-4445
Fax Number
631-261-3710
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00590001 05 NY
24A921 01 NY MEDICARE LEGACY
1C2496 01 HEALTHNET
0520035 01 AETNA
442081060 01 NY MEDICARE RAILROAD PTAN
CP521 01 OXFORD
0065892 01 GHI
24A921 01 NY BLUE CROSS BLUE SHIELD
10263 01 VYTRA
institution
Provider Business Practice Location Address Details
Address
325 Main St
City
Northport
State
New York
Zip
11768-1790
Phone Number
631-261-4445
Fax Number
631-261-3710
person
Provider Business Mailing Address Details
Address
325 Main St
City
Northport
State
New York
Zip
11768-1790
Phone Number
631-261-4445
Fax Number
631-261-3710
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
131824 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.