Individual provider · Type 1 NPI
Jeffrey K. Nussbaum, MD
Specialist · Amityville, NY
NPI number
1710957915
Active
Practice location
157 Broadway
Amityville, NY 11701-2729
Fax (631) 598-7759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 147879 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1710957915
Jeffrey K. Nussbaum, MD's National Provider Identifier is 1710957915, issued on Jan 23, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Amityville, NY. The record was last updated on Jul 13, 2026.