Anatoly Pisman
Sports Medicine Doctor
1911 Avenue L
Brooklyn
, New York 11230-5002
Anatoly Pisman
Sports Medicine Doctor
1911 Avenue L
Brooklyn
, New York 11230-5002
(718) 339-3079
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Anatoly Pisman
- 1919 E 27th St
- Brooklyn, NY
- Zip : 11229-2536
- Phone : (718) 339-3079
Second Address
- Anatoly Pisman
- 1911 Avenue L
- Brooklyn, NY
- Zip : 11230-5002
- Phone : (718) 859-3499
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 210766 | NY |
National Provider Identifier
| NPI | 1245231687 |
|---|---|
| Provider Name | Anatoly Pisman |
| First Address | Brooklyn, NY 11229-2536 |
| Second Address | Brooklyn, NY 11230-5002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 11/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01911760 | (05) | NY |
| H06604 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.