Individual provider · Type 1 NPI

Michael Nussbaum, MD

Pediatric Adolescent Medicine Physician · Holbrook, NY

NPI number 1356458442 Active

Practice location

270 Union Ave
Holbrook, NY 11741-1823

Mailing address

62 Old Homestead Rd
Port Jefferson, NY 11777-1185

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X124424 (NY)

Pediatric Adolescent Medicine Physician: 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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About NPI 1356458442

Michael Nussbaum, MD's National Provider Identifier is 1356458442, issued on Aug 24, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Holbrook, NY. The record was last updated on Nov 22, 2011.