Individual
MRS. ALEXANDRA CAYLA NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 E 77TH ST, NEW YORK, NY 10075-1851
(212) 434-2000
Mailing address
500 E 77TH ST APT 1736, NEW YORK, NY 10162-0033
(516) 242-5222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308750
NY
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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