Individual provider · Type 1 NPI

Maksim Nisenboym, PA

Physician Assistant · Briarwood, NY

NPI number 1063785863 Active

Practice location

14755 Hoover Ave
Briarwood, NY 11435-2139

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X015471 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063785863

Maksim Nisenboym, PA's National Provider Identifier is 1063785863, issued on Feb 10, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Briarwood, NY. The record was last updated on Feb 10, 2012.