| NPI | 1124555024 |
|---|---|
| Other Name | KEITH S NUSSBAUM |
| Entity Type | Organization |
| Authorized Contact | MARY MESSIA-MCBRIDE Office Manager 518-482-6175 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: NY 005850) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: NY X007262-3) |
| 225700000X Massage Therapist (Licence: NY 026404-1) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-08-07 |