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Jack Z Nussbaum, MD
Family Medicine Physician in Lake Ronkonkoma, New York
NPI 1346242690

Jack Z Nussbaum is a Family Medicine Physician based in Lake Ronkonkoma, NY. Jack Z Nussbaum practices in Lake Ronkonkoma, NY and has the professional credentials of MD. The NPI Number for Jack Z Nussbaum is 1346242690 and holds a License No. 165161 (New York).

The current practice location address for Jack Z Nussbaum is 388 Hawkins Ave, Lake Ronkonkoma, NY and can be reached out via phone at 631-588-8460 and via fax at 631-588-8480.

Location: 388 Hawkins Ave, Lake Ronkonkoma, NY, 11779-4280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346242690
Provider Name
Jack Z Nussbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
388 Hawkins Ave, Lake Ronkonkoma, NY, 11779-4280
Phone Number
631-588-8460
Fax Number
631-588-8480
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01824322 05 NY
institution
Provider Business Practice Location Address Details
Address
388 Hawkins Ave
City
Lake Ronkonkoma
State
New York
Zip
11779-4280
Phone Number
631-588-8460
Fax Number
631-588-8480
person
Provider Business Mailing Address Details
Address
388 Hawkins Ave
City
Lake Ronkonkoma
State
New York
Zip
11779-4280
Phone Number
631-588-8460
Fax Number
631-588-8480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
165161 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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