Individual
DR. ABRAHAM NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 MONTGOMERY ST, RHINEBECK, NY 12572-1146
(845) 876-4095
(845) 876-4427
Mailing address
91 MONTGOMERY ST, RHINEBECK, NY 12572-1146
(845) 876-4095
(845) 876-4427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
131586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429290
—
NY
01
—
10032008
CDPHP
NY
01
—
10489688
CAQH
NY
01
—
267172
MVP HEALTH PLAN
NY
01
—
P396195
OXFORD HEALTH PLAN
NY
Enumeration date
07/12/2006
Last updated
03/24/2020
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