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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SISSELMAN MEDICAL GROUP, PC

Active Organization

Internal Medicine · MASSAPEQUA, NY

Registration Details

NPI Number
1851572358
Provider Type
Organization
NPI Issued
Nov 26, 2007 (18.429398825658 yrs)
Last Updated
Oct 12, 2022
Licenses
216154 (NY)
216161 (NY)

Practice Information

Address
627 BROADWAY
SUITE 1
MASSAPEQUA, NY, 117585031
Browse NY providers · Browse ZIP 11758
Phone
5163084040
Fax
5168046386
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.