Individual
ILANA ESTER NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CHESTNUT STREET, SUITE 210, PHILADELPHIA, PA 19107
(718) 270-2902
Mailing address
1824 SPRUCE STREET, SUITE 100, PHILADELPHIA, PA 19103
(617) 784-7222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT195042
PA
Other
Enumeration date
05/29/2008
Last updated
08/24/2011
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