DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL NUSSBAUM, M.D.

Active Sole Proprietor

DR. MICHAEL NUSSBAUM, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in HOLBROOK, New York. NPI 1356458442 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · HOLBROOK, NY

Registration Details

NPI Number
1356458442
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2006 (20.004737808038 yrs)
Last Updated
Nov 22, 2011
License
124424 (NY)
Sole Proprietor
Yes

Practice Information

Address
270 UNION AVE
HOLBROOK, NY, 117411823
Browse NY providers · Browse ZIP 11741
Phone
6315884442
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in HOLBROOK, NY

Name Credential NPI
DR. MITCHELL KLEINBERG M.D. 1447367537
DR. ROBERT S FESTA M.D., LIC 1265549356
MRS. PHYLLIS G SIMON-GOLDMAN MD 1245431477
AMANDA RACHEL ANAYA NP 1558082149
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.