Individual
ALAN C NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2715
(845) 486-2703
(845) 790-2199
Mailing address
603 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2715
(845) 486-2703
(845) 790-2199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
181570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181570
—
NY
Enumeration date
03/19/2007
Last updated
05/25/2012
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