Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL LEONARD NISSENBAUM, PH.D.
Active Sole ProprietorDR. MICHAEL LEONARD NISSENBAUM, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in CENTEREACH, New York. NPI 1174546725 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · CENTEREACH, NY
Registration Details
- NPI Number
- 1174546725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.063778848466 yrs)
- Last Updated
- Jul 8, 2007
- License
-
010232 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 MIDDLE COUNTRY RDSUITE 28WCENTEREACH, NY, 117203577Browse NY providers · Browse ZIP 11720
- Phone
- 6317379500
- Fax
- 6317379512
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in CENTEREACH, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY J ANZALONE | PSY.D. | 1124346689 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.