Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Michael Kisner, MD

Individual provider Specialist · NPI 1790766673

Alan Michael Kisner, MD is a Plastic and Reconstructive Surgery in Huntington, New York. Qualified in 1967, 59 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
59
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 E Main St
Huntington, NY 11743-2816
Phone: (631) 424-4004
Fax: (631) 424-4027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1216841 (NY)

Record details

NPI number1790766673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 8, 2005
Last updated in NPPESJune 18, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Not indicated

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