Maksim Nisanov
Maksim Nisanov is an Occupational Therapist in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1642 63rd StBrooklyn, NY 11204-2744
Phone: (718) 234-5700
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1821676495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2021 |
| Last updated in NPPES | September 1, 2021 |
| Certification date | August 17, 2021 |
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