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1356458442
MICHAEL NUSSBAUM
HOLBROOK, NY
NPI
1356458442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NY 124424)
Enumeration Date
2006-08-24
Last Update Date
2011-11-22
Business Address
Dr. MICHAEL NUSSBAUM M.D.
270 UNION AVE
HOLBROOK, NY 11741-1823
Phone number: 631-588-4442
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Mailing Address
Dr. MICHAEL NUSSBAUM M.D.
62 OLD HOMESTEAD RD
PORT JEFFERSON, NY 11777-1185
Phone number:
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