IndividualActive
Alan Nissenbaum, MD
NPI 1295879120 · Nephrology Physician · Brooklyn, NY
Provider details
- NPI number
- 1295879120
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 177636 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3915 Avenue V Ste 104
Brooklyn, NY 11234-5156
Phone: (718) 252-8440
Approximate (ZIP-level) locationGet directions
Mailing address
2152 Ralph Ave # 428
Brooklyn, NY 11234-5406
Additional practice locations (2)
- 1636 E 14th StSuite 114Brooklyn, NY 11229-1100Phone: (718) 998-7363Fax: (718) 998-7592
- 1435 86th StBrooklyn, NY 11228-3435Phone: (718) 256-5800
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.