Dorian Rose Nissenson in Westport - Neurology
Dorian Rose Nissenson - NPI 1255462172
Dorian Rose Nissenson is a Neurology in Westport, Connecticut. Dorian Rose Nissenson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Dorian Rose Nissenson is 1255462172. The last update date is 2015-12-15.
Dorian Rose Nissenson's current location address is 7 Black Birch Road, Westport, Connecticut. You can contact this provider via phone number 9175977031 and fax number 2032934173. The mailing address for Dorian Rose Nissenson is 7 Black Birch Road, Westport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorian Rose Nissenson |
|---|---|
| Address | 7 Black Birch Road, Westport, Connecticut |
| Phone Number | 9175977031 |
| Fax Number | 2032934173 |
| Sole Proprietor | Y |
| Credentials | M.S.P.T. |
NPI Number Detail
| NPI Number | 1255462172 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 7 Black Birch Road |
|---|---|
| City | Westport |
| State | Connecticut (CT) |
| Post Code | 6880 |
| Phone Number | 9175977031 |
| Fax Number | 2032934173 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2251N0400X |
| Licence No | 14800 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledg |
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What is the unique 10-digit identification code assigned to Dorian Rose Nissenson by the Centers for Medicare & Medicaid Services?
The Dorian Rose Nissenson has been issued the NPI (National Provider Identifier) 1255462172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dorian Rose Nissenson located?
The Dorian Rose Nissenson is located at 7 Black Birch Road, Westport, CT 6880.
What is Dorian Rose Nissenson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dorian Rose Nissenson is Neurology, and the taxonomy code that classifies this field of practice is 2251N0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255462172 to Dorian Rose Nissenson?
The Dorian Rose Nissenson received its 1255462172 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the Dorian Rose Nissenson's information last updated?
The Dorian Rose Nissenson's information was last updated on 2015-12-15.
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