According to our database, the NPI number for Jack Z Nussbaum MD is 1346242690 and activated since 18 years ago. Jack Z Nussbaum MD is an individual provider who specializes in Family Medicine, and the primary practice location is 388 Hawkins Ave, Lake Ronkonkoma, NY 11779. You can also contact Jack Z Nussbaum MD via telephone number is (631) 588-8460. Provider NPI information was last updated on 07/08/2007.

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Overview of Jack Z Nussbaum MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/01/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 165161
  • License State: NY

Provider Mailing Address

  • Address: 388 Hawkins Ave
    Ste 1
    Lake Ronkonkoma, NY 11779
  • Phone: 631-588-8460
  • Fax: 631-588-8480

Provider Practice Location

  • Address: 388 Hawkins Ave
    Ste 1
    Lake Ronkonkoma, NY 11779
  • Phone: 631-588-8460
  • Fax: 631-588-8480

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 165161
  • License State: NY
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 01824322
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NY
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Z Nussbaum MD?
  • A: The npi number for Jack Z Nussbaum MD is 1346242690.
  • Q: What are Jack Z Nussbaum MD's specialties?
  • A: Jack Z Nussbaum MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jack Z Nussbaum MD?
  • A: The medical license number for Jack Z Nussbaum MD is 165161 and issued in NY in USA.
  • Q: Where is Jack Z Nussbaum MD practice location?
  • A: Jack Z Nussbaum MD is practicing at 388 Hawkins Ave, Lake Ronkonkoma, NY 11779.
  • Q: How to contact Jack Z Nussbaum MD?
  • A: You can contact Jack Z Nussbaum MD via 631-588-8460.