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Diana Nisanov
NPI 1831632439 · on the registry since 2016 · sole proprietor
Practice
- Address
- 14500 Springfield Blvd
Springfield Gardens, NY 11413 - Phone
- (718) 977-6180
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York