Individual
ALIZA CARLY NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 5TH AVE, NEW YORK, NY 10029-3119
(212) 426-3441
Mailing address
1301 5TH AVE, NEW YORK, NY 10029-3119
(212) 426-3441
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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