Sisselman Medical Group, Pc in Massapequa - Family Medicine
Sisselman Medical Group, Pc - NPI 1851572358
Sisselman Medical Group, Pc is a Family Medicine in Massapequa, New York. Sisselman Medical Group, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sisselman Medical Group, Pc is 1851572358. The last update date is 2022-10-12.
Sisselman Medical Group, Pc's current location address is 627 Broadway, Massapequa, New York. You can contact this provider via phone number 5163084040 and fax number 5168046386. The mailing address for Sisselman Medical Group, Pc is 627 Broadway, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sisselman Medical Group, Pc |
|---|---|
| Address | 627 Broadway, Massapequa, New York |
| Phone Number | 5163084040 |
| Fax Number | 5168046386 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sisselman Stephen |
| Credentials | D.O. |
| Telephone Number | 5163084040 |
NPI Number Detail
| NPI Number | 1851572358 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2022-10-12 |
Provider Mailing Address Detail
| Address | 627 Broadway |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117585031 |
| Phone Number | 5163084040 |
| Fax Number | 5168046386 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 216154 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5215494 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sisselman Medical Group, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Sisselman Medical Group, Pc has been assigned the NPI (National Provider Identifier) 1851572358. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Sisselman Medical Group, Pc is physically located?
The Sisselman Medical Group, Pc is physically situated at the following address: 627 Broadway, Massapequa, NY, 117585031.
What is the Sisselman Medical Group, Pc's specialty and taxonomy code?
The Sisselman Medical Group, Pc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did the Sisselman Medical Group, Pc receive its 1851572358?
The Sisselman Medical Group, Pc was issued its 1851572358 on 2007-11-26, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Sisselman Medical Group, Pc most recently updated or revised?
The details related to Sisselman Medical Group, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-12.