Sisselman Medical Group, PC
Sisselman Medical Group, PC provides Family Medicine Physician services in Massapequa, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
627 Broadway Ste 1Massapequa, NY 11758-5031
Phone: (516) 308-4040
Fax: (516) 804-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 216161 (NY) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 216154 (NY) |
Record details
| NPI number | 1851572358 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Sisselman — President · (516) 308-4040 |
| NPI enumerated | November 26, 2007 |
| Last updated in NPPES | October 12, 2022 |
| Certification date | October 12, 2022 |
| Mailing address | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 |
Other providers in Massapequa
-
Marjorie J Isdith DO PC
20 Hicksville Rd Ste 5, Massapequa, NY 11758-5819 · (516) 795-5700
-
Nneka Chiagoziem Ikpeze Phillips
1061 N Broadway Ste 2, Massapequa, NY 11758-1853 · (631) 751-3000
-
Amy Sacher-Goldstein, DO
99 Grand Ave, Massapequa, NY 11758-4908 · (516) 541-9700
-
Jill Sisselman, DO
627 Broadway Ste 1, Massapequa, NY 11758-5031 · (516) 308-4040