| Robert S Nissan, MD | |
|
325 Main St, Northport, NY 11768-1790 | |
| (631) 261-4445 | |
| (631) 261-3710 |
| Full Name | Robert S Nissan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 325 Main St, Northport, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669479010 | NPI | - | NPPES |
| 00590001 | Medicaid | NY | |
| 24A921 | Other | NY | MEDICARE LEGACY |
| 1C2496 | Other | HEALTHNET | |
| 0520035 | Other | AETNA | |
| 442081060 | Other | NY | MEDICARE RAILROAD PTAN |
| CP521 | Other | OXFORD | |
| 0065892 | Other | GHI | |
| 24A921 | Other | NY | BLUE CROSS BLUE SHIELD |
| 10263 | Other | VYTRA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 131824 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Nissan, MD 325 Main St, Northport, NY 11768-1790 Ph: (631) 261-4445 | Robert S Nissan, MD 325 Main St, Northport, NY 11768-1790 Ph: (631) 261-4445 |
Peter G Butera, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 399 Fort Salonga Rd, Northport, NY 11768 Phone: 631-757-5400 | |
Alan R Lampert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Main St, Northport, NY 11768 Phone: 631-261-4445 Fax: 631-261-3710 | |
Dr. Eray Oge, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 11 Clam Shell Ln, Northport, NY 11768 Phone: 631-757-9605 | |
Dr. Linda Alice Bartlett, MD, MHSC. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Makamah Beach Rd, Northport, NY 11768 Phone: 404-242-7615 | |
Dr. Melvin M Fritz, D.O., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Heiko Court, Northport, NY 11768 Phone: 631-912-9129 Fax: 631-912-9099 | |
Dr. Brenainn Mairtin Flanagan, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Burr Ave, Northport, NY 11768 Phone: 631-708-4066 |