Dr. Michael Nussbaum
M.D. | Pediatric Adolescent Medicine | Male
Dr. Michael Nussbaum, M.D. is a Holbrook, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Michael Nussbaum is
270 Union Ave, Holbrook, New York - 11741-1823. He can be contacted on phone at
631-588-4442.
Dr. Michael Nussbaum is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Nussbaum is
1356458442 which was assigned by NPPES on 24 Aug, 2006 and it was last updated on 22 Nov, 2011.
Dr. Michael Nussbaum license number is
124424 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Dr. Michael Nussbaum specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Michael Nussbaum basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Michael Nussbaum |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Michael Nussbaum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 270 Union Ave
Holbrook, NY, 11741-1823
United States |
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| Phone Number : | 631-588-4442 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356458442 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Aug, 2006 |
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| Last Updated On : | 22 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Nussbaum are as mentioned. Primary taxonomy code for Dr. Michael Nussbaum, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 124424 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Nussbaum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00306170 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 62 Old Homestead Rd
Port Jefferson, NY, 11777-1185
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Nussbaum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.