Individual
DR. MICHEL ERNEST NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163-03 HORACE HARDING EXPRESSWAY, THIRD FLOOR, FRESH MEADOWS, NY 11365-1136
(718) 670-2386
(718) 460-6869
Mailing address
201 E 17TH ST APT 3H, NEW YORK, NY 10003-3675
(917) 952-6010
(212) 254-8045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
136263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00734556
—
NY
01
—
0084958
GHI
NY
01
—
0539960
AETNA
NY
01
—
071A4110
BLUE CROSS
NY
01
—
0C0936
HEALTH NET
NY
01
—
10P0341
NY HOSPITAL COMM PLAN
NY
01
—
159885
ELDERPLAN
NY
01
—
666001
UNITED HEALTH CARE
NY
01
—
DS583
OXFORD
NY
01
—
OH752P
HEALTH CARE PARTNERS
NY
Enumeration date
01/19/2006
Last updated
06/16/2023
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