License holder summary

NISSENBAUM MARK B is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for NISSENBAUM MARK B is BIRMINGHAM AL. This doctor license is current. The license was granted 01/10/1975 and expired on 05/31/2016.

New York

Office of the Professions

NISSENBAUM MARK B
Medicine (Physician, Including M Ds & D Os)
License number
122786
Date granted
01/10/1975
Date expires
05/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BIRMINGHAM AL
nymedicine.org
ID 30232913
LAST UPDATED 2024-05-14 18:35:04 UTC

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