Individual
DR. MAX NISENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
75 MAIDEN LN, #346, NEW YORK, NY 10038-4810
(347) 948-4995
Mailing address
75 MAIDEN LN, #220, NEW YORK, NY 10038-4810
(212) 920-5816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020891
NY
Other
Enumeration date
10/01/2014
Last updated
06/04/2017
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