DR. Michael Leonard Nissenbaum, PH.D.
NPI #1174546725 in Centereach, New York
Provider Information
- NPI Number
- 1174546725
- Entity Type
- Individual
- Name
- DR. Michael Leonard Nissenbaum, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Credential
- PH.D.
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2100 MIDDLE COUNTRY RD
- Address 2
- SUITE 28W
- City
- Centereach
- State
- New York
- ZIP Code
- 11720-3577
- Phone
- (631) 737-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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