Nussbaum, Jennifer

Nussbaum, Jennifer is an sole proprietor health care provider with primary practice located at 554 Larkfield Rd Ste 103 , East Northport NY 11731-4205. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nussbaum, Jennifer can be contacted via phone (631) 988-8109.

Contact Information

Primary practice address
554 Larkfield Rd Ste 103 East Northport NY 11731-4205
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 054825 New York

Profile Details

NPI number 1861958167
LBN Legal business name Nussbaum, Jennifer
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2019
Last updated Feb 12th, 2019 - about 5 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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