Individual
ALAN M NUSSBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 GIBSON BLVD, VALLEY STREAM, NY 11581-3321
(516) 791-6300
(516) 791-6303
Mailing address
87 GIBSON BLVD, VALLEY STREAM, NY 11581-3321
(516) 791-6300
(516) 791-6303
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
172839
NY
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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