NISSAN SHLISELBERG (NPI# 1720174212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720174212 |
| Entity Type | Individual |
| Full Name | NISSAN SHLISELBERG |
| Credential | MD |
| Practice Address |
75 01 Broadway 3rd Floor Elmhurst NY 11373 |
| Mailing Address |
69 40 108th Street Forest Hills NY 11375 |
| Practice Telephone | 7184781554 |
| Practice Fax Number | 7184783844 |
| Mailing Telephone | 7182752635 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
163429-2 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTHFIRST | 163429-A37 | 01 |
| Street Address |
75 01 BROADWAY 3RD FLOOR |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649654013 | Obiora S Nnaji | Psychiatry & Neurology | 7901 Broadway Room C10-2, Elmhurst Hospital Services, Department of Psychiatry, Elmhurst, NY 11373 | 2015-07-16 |
| 1437412343 | Rafael Bienvenido Mustafa Michel | Psychiatry & Neurology | 7901 Broadway Rm D-1049, Elmhurst, NY 11373-1329 | 2012-06-18 |
| 1922377522 | Roger Alan Konwal | Psychiatry & Neurology | 275 S Monterey Ave, Elmhurst, IL 60126-3008 | 2011-12-28 |
| 1801094867 | Qi Ling | Psychiatry & Neurology | 79-01 Broadway, Dept. Psychiatry, Mt. Sinai/ehc, Elmhurst, NY 11373 | 2007-07-10 |
| 1609994797 | Alan M. Robertson M.d., S.c. | Psychiatry & Neurology | 220 S Linden Ave, Elmhurst, IL 60126-3607 | 2007-03-27 |
| 1417010893 | Guilan Zhou | Psychiatry & Neurology | 8708 Justice Ave Ste C1, Elmhurst, NY 11373-4590 | 2006-12-18 |
| 1841395597 | Nima Akhavan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-09-14 |
| 1093715104 | Vassiliki Toulios | Psychiatry & Neurology | 263 N York Rd, #200, Elmhurst, IL 60126-2758 | 2005-07-29 |
| 1831197888 | Emile Borde | Psychiatry & Neurology | 9001 56th Ave, Elmhurst, NY 11373-4934 | 2005-07-13 |
| 1790390722 | Sophia Maria Kecala | Psychiatry & Neurology | 533 W North Ave, Elmhurst, IL 60126-2135 | 2020-09-15 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.