Individual
ADAM T NOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MANETTO HILL RD, SUITE 105, PLAINVIEW, NY 11803-1311
(516) 935-4141
(516) 935-1770
Mailing address
100 MANETTO HILL RD, SUITE 105, PLAINVIEW, NY 11803-1311
(516) 935-4141
(516) 935-1770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
197495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753828
—
NY
Enumeration date
08/10/2005
Last updated
09/25/2012
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