Individual
DR. EDWARD R NISHBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1421 ROUTE 44, PLEASANT VALLEY, NY 12569-7832
(845) 635-8988
Mailing address
66 RIDGEVIEW RD, POUGHKEEPSIE, NY 12603-4238
(845) 473-2285
(845) 473-4378
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0070641
NY
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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