License holder summary

NISSAN ROBERT S is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for NISSAN ROBERT S is NORTHPORT NY. This doctor license is current. The license was granted 08/05/1977 and expired on 08/31/2015.

New York

Office of the Professions

NISSAN ROBERT S
Medicine (Physician, Including M Ds & D Os)
License number
131824
Date granted
08/05/1977
Date expires
08/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NORTHPORT NY
nymedicine.org
ID 30232904
LAST UPDATED 2024-02-26 14:11:06 UTC

This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.

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