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Contact Information

KUSSAY NASSR, MD
12 CROWNE POND LN
WILTON, CT06897-3029
 Phone: 267-978-8872
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KUSSAY NASSR · (Male)

NPI Number 1316942022
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2005
Last updated 03/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 67068
  • FL License # ME164693
  • LA License # 338628
  • NC License # 2023-02826
  • PA License # MD418166
  • VA License # 0101254953
  • PA Medicaid 1009357880003
  • LA Other 338628 LA LICENSE
Hospital affiliation(s)
  • STAMFORD HOSPITAL - (Acute Care)
    30 SHELBURNE ROAD
    STAMFORD, CT 06904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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