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Dr. Michael Nussbaum, MD
Pediatric Adolescent Medicine Physician in Holbrook, New York
NPI 1356458442

Michael Nussbaum is a Pediatric Adolescent Medicine Physician based in Port Jefferson, NY and is specialized in Adolescent Medicine. Michael Nussbaum practices in Holbrook, NY and has the professional credentials of MD. The NPI Number for Michael Nussbaum is 1356458442 and holds a License No. 124424 (New York).

The current practice location address for Michael Nussbaum is 270 Union Ave, Holbrook, NY and can be reached out via phone at 631-588-4442.

Location: 270 Union Ave, Holbrook, NY, 11777-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356458442
Provider Name
Michael Nussbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
270 Union Ave, Holbrook, NY, 11777-1185
Phone Number
631-588-4442
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00306170 05 NY
institution
Provider Business Practice Location Address Details
Address
270 Union Ave
City
Holbrook
State
New York
Zip
11741-1823
Phone Number
631-588-4442
Fax Number
person
Provider Business Mailing Address Details
Address
270 Union Ave
City
Holbrook
State
New York
Zip
11741-1823
Phone Number
631-588-4442
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
124424 (New York)
Definition
A pediatrician who 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.
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