Individual
DR. ADAM MICHAEL NUSBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
60 E 9TH ST, SUITE 206, NEW YORK, NY 10003-6402
(212) 473-2164
Mailing address
89 BUTTONWOOD DR, DIX HILLS, NY 11746-4804
(631) 988-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055649
NY
Other
Enumeration date
04/14/2010
Last updated
11/04/2011
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