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

Primary practice address
270 Union Ave Holbrook NY 11741-1823
Phone: (631) 588-4442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356458442 NPPES
New York MEDICAID 00306170

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