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
Phone: (718) 264-4574
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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