Nussbaum, Michael
Nussbaum, Michael is an sole proprietor health care provider with primary practice located at 270 Union Ave , Holbrook NY 11741-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Nussbaum, Michael can be contacted via phone (631) 588-4442.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 124424 | New York |
Profile Details
| NPI number | 1356458442 |
|---|---|
| LBN Legal business name | Nussbaum, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Nov 22nd, 2011 - about 13 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 | 1356458442 | NPPES |
| New York | MEDICAID | 00306170 |
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