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1992853055
JACQUELINE I NUSSBAUM
NEW ROCHELLE, NY
NPI
1992853055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: NY 046469)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
Dr. JACQUELINE I NUSSBAUM DDS, MS
77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804-2808
Phone number: 917-636-4118
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Mailing Address
Dr. JACQUELINE I NUSSBAUM DDS, MS
65 MAGNOLIA LN
JERICHO, NY 11753-2228
Phone number: 516-938-1747
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