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

Pnina Nisanov

Individual provider Specialist · NPI 1609529684

Pnina Nisanov is a Specialist in Far Rockaway, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1244 Baypark Pl
Far Rockaway, NY 11691-1724
Phone: (917) 304-4047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1609529684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2022
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 19, 2022

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