Individual
ORA NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11711 MYRTLE AVE, RICHMOND HILL, NY 11418-1751
(718) 849-6300
(718) 849-9695
Mailing address
11711 MYRTLE AVE, RICHMOND HILL, NY 11418-1751
(718) 849-6300
(718) 849-9695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
11/03/2025
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