Nusbaum, Jessica Lee

Nusbaum, Jessica Lee is an individual health care provider with primary practice located at 7403 Commonwealth Blvd Bldg 55 , Bellerose NY 11426-1839. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nusbaum, Jessica Lee can be contacted via phone (718) 264-4574.

Contact Information

Primary practice address
7403 Commonwealth Blvd Bldg 55 Bellerose NY 11426-1839
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 022689 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 022689 New York

Profile Details

NPI number 1891466819
LBN Legal business name Nusbaum, Jessica Lee
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2021
Last updated Nov 18th, 2021 - about 4 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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