Michael L Nissnbaum, Ph.d., Psychologist, P.c.
NPI #1205009511 in Stony Brook, New York
Provider Information
- NPI Number
- 1205009511
- Entity Type
- Organization
- Organization Name
- Michael L Nissnbaum, Ph.d., Psychologist, P.c.
- Primary Specialty
- Psychologist
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Jul 1, 2008
Practice Location
- Address
- 4 COED LN
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2704
- Phone
- (631) 737-9500
Authorized Official
- Name
- MR. MICHAEL LEONARD NISSENBAUM, PH.D.
- Title
- PRESIDENT
- Phone
- (631) 737-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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