National Provider Identifier
Hany G Nissiem, M.D
Hany G Nissiem, M.D is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Brockport, NY and a listed phone number of (585) 395-0620.
Profile Overview
- NPI
- 1295782399
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 27, 2006
- Last Updated
- May 24, 2016
Practice Location
- 6565 Fourth Section RD
- Suite 300
- Brockport, NY 14420-2416
Phone: (585) 395-0620
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1295782399
- Entity Type
- Individual
- Last Name
- Nissiem
- First Name
- Hany
- Middle Name
- G
- Credential
- M.D
- Mailing Street Address
- 6565 Fourth Section RD
- Mailing Address Line 2
- Suite 300
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2416
- Mailing Country
- US
- Mailing Phone
- (585) 395-0620
- Mailing Fax
- (585) 395-0622
- Practice Street Address
- 6565 Fourth Section RD
- Practice Address Line 2
- Suite 300
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2416
- Practice Country
- US
- Practice Phone
- (585) 395-0620
- Practice Fax
- (585) 395-0622
- Enumeration Date
- May 27, 2006
- Last Updated
- May 24, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)