Monte Nussbaum MD PC
Family Medicine in Lynbrook, NY. Organization (NPI-2).
NPI number1295818482
StatusActive
Last updated in NPPESJan 18, 2011
Details
- NPI
- 1295818482
- Entity type
- Organization (NPI-2)
- Legal business name
- Monte Nussbaum MD PC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jan 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 16189811 | NY | Yes |
Practice location
185 Merrick RdSuite1a
Lynbrook, NY 11563-2700
Phone 516-593-3535 · Fax 516-792-1536
Mailing address
185 Merrick RoadSuite1a
Lynbrook, NY 11563
Phone 516-593-3535 · Fax 516-593-4259
Authorized official
Monte Nussbaum
Owner
5165933535
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