Organization
NUSSBAUM CHIROPRACTIC PLLC
Active
Parent organization
NUSSBAUM CHIROPRACTIC PLLC
Other names
KEITH S NUSSBAUM
Organization subpart
Yes
Provider details
NPI number
Legal business name
NUSSBAUM CHIROPRACTIC PLLC
Authorized official
MARY MESSIA-MCBRIDE (OFFICE MANAGER)
(518) 482-6175
Entity
Organization
Contact information
Practice address
130 EVERETT RD, ALBANY, NY 12205-1418
(518) 482-6175
(518) 459-5134
Mailing address
130 EVERETT RD, ALBANY, NY 12205-1418
(518) 482-6175
(518) 459-5134
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
005850
NY
111NR0200X
Radiology Chiropractor
X007262-3
NY
225700000X
Massage Therapist
026404-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437192820
NPI
NY
01
—
1447383369
NPI
NY
Enumeration date
05/23/2017
Last updated
08/07/2024
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