Neal B Nissen in Brooklyn - Pediatric Dentistry
Neal B Nissen - NPI 1376608976
Neal B Nissen is a Pediatric Dentistry in Brooklyn, New York. Neal B Nissen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Neal B Nissen is 1376608976. The last update date is 2007-07-08.
Neal B Nissen's current location address is 2005 Avenue L, Brooklyn, New York. You can contact this provider via phone number 7183380015. The mailing address for Neal B Nissen is 2005 Avenue L, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neal B Nissen |
|---|---|
| Address | 2005 Avenue L, Brooklyn, New York |
| Phone Number | 7183380015 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1376608976 |
|---|---|
| Provider Enumeration Date | 2006-12-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2005 Avenue L |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112104550 |
| Phone Number | 7183380015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 033959-1 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 412579 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Neal B Nissen by the Centers for Medicare & Medicaid Services?
The Neal B Nissen has been assigned the NPI (National Provider Identifier) 1376608976. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Neal B Nissen is located?
The Neal B Nissen is situated at the following address: 2005 Avenue L, Brooklyn, NY, 112104550.
What is the Neal B Nissen's specialty and taxonomy code?
The Neal B Nissen's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date was the 1376608976 assigned to Neal B Nissen?
The Neal B Nissen was issued its 1376608976 on 2006-12-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Neal B Nissen last refreshed?
The information related to the Neal B Nissen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.