Nisanov, Rodshel

Nisanov, Rodshel is an sole proprietor health care provider with primary practice located at 14146 72Nd Dr , Flushing NY 11367-2313. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Nisanov, Rodshel can be contacted via phone (646) 525-5965.

Contact Information

Primary practice address
14146 72Nd Dr Flushing NY 11367-2313
Phone: (646) 525-5965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 747551 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 347908 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X F347908-01 New York

Profile Details

NPI number 1356005425
LBN Legal business name Nisanov, Rodshel
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2021
Last updated Jun 9th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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