Sisselman Medical Group, Pc in Massapequa - Internal Medicine
Sisselman Medical Group, Pc - NPI 1851572358
Sisselman Medical Group, Pc is a Internal Medicine in Massapequa, New York. Sisselman Medical Group, Pc practices all healthcare services and medical treatments related to Internal 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 |
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Address | 627 Broadway, Massapequa, New York |
Phone Number | 5163084040 |
Fax Number | 5168046386 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Sisselman Stephen |
Credentials | D.O. |
Telephone Number | 5163084040 |
NPI Number Detail
NPI Number | 1851572358 |
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Provider Enumeration Date | 2007-11-26 |
Last Updated Date | 2022-10-12 |
Provider Mailing Address Detail
Address | 627 Broadway |
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City | Massapequa |
State | New York (NY) |
Post Code | 117585031 |
Phone Number | 5163084040 |
Fax Number | 5168046386 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 216161 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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 Internal Medicine, and the corresponding taxonomy code is 207R00000X.
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.