Nissenbaum, Michael Leonard

Nissenbaum, Michael Leonard is an sole proprietor health care provider with primary practice located at 2100 Middle Country Rd Suite 28W, Centereach NY 11720-3577. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Nissenbaum, Michael Leonard can be contacted via phone (631) 737-9500.

Contact Information

Primary practice address
2100 Middle Country Rd Suite 28W Centereach NY 11720-3577
Phone: (631) 737-9500
Fax: (631) 737-9512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 010232 New York

Profile Details

NPI number 1174546725
LBN Legal business name Nissenbaum, Michael Leonard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 years 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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