Individual provider · Type 1 NPI

Jacqueline I. Nussbaum, DDS, MS

Periodontics · New Rochelle, NY

NPI number 1992853055 Active

Practice location

77 Quaker Ridge Rd, Suite 206
New Rochelle, NY 10804-2808

Call (917) 636-4118 Map

Mailing address

65 Magnolia Ln
Jericho, NY 11753-2228

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X046469 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1992853055

Jacqueline I. Nussbaum, DDS, MS's National Provider Identifier is 1992853055, issued on Jan 8, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in New Rochelle, NY. The record was last updated on Jul 8, 2007.