Individual
ALLIE NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6010
Mailing address
35 W 92ND ST APT 9G, NEW YORK, NY 10025-7639
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309085
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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