1690 SPUR DR N, CENTRAL ISLIP, 11722-4331, NEW YORK
| Entity Name | MICHAEL NISSEN, M.D., P.C. |
| Entity Number | 2647614 |
| Status | ACTIVE |
| Incorporation Date | 7th June 2001 |
| Dos Process Address | 225 EAST 64TH ST, NEW YORK, 10021, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |