Nussbaum, Alan C
Nussbaum, Alan C is an individual health care provider with primary practice located at 603 Sierra Vista Ln , Valley Cottage NY 10989-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Nussbaum, Alan C can be contacted via phone (845) 486-2703.Contact Information
Primary practice address
603 Sierra Vista Ln
Valley Cottage NY 10989-2715
Phone: (845) 486-2703
Fax: (845) 790-2199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 181570 | New York |
Profile Details
| NPI number | 1760506596 |
|---|---|
| LBN Legal business name | Nussbaum, Alan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760506596 | NPPES |
| New York | MEDICAID | 181570 |
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