Michael L Nissenbaum (NPI# 1174546725, PAC ID# 2264336296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1174546725 |
| PAC ID by PECOS | 2264336296 |
| Professional Enrollment ID | I20031121000443 |
| Full Name | Michael L Nissenbaum |
| Address |
4 Coed Ln Stony Brook NY 11790-2704 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4 Coed Ln, Stony Brook, NY 11790-2704 |
| Street Address |
4 COED LN |
| City | STONY BROOK |
| State | NY |
| Zip | 11790-2704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Weitzman | Infectious Disease | 36 Erland Rd, Stony Brook, NY 11790-1125 | |
| Karin E Wile | Clinical Social Worker | 34 Erland Rd, Stony Brook, NY 11790-1125 | |
| Stephen L Frederico | Clinical Social Worker | 7 Soundview Ct, Stony Brook, NY 11790-1419 | |
| Christopher Bahnken | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Kimberly A Harris | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Thomas Robert Sanders | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Barnett T Schrier | Optometry | 125 Main St, Stony Brook, NY 11790-1911 | |
| Karin Schlee | Psychologist, Clinical | 1239 N Country Rd, 6a, Stony Brook, NY 11790-1920 | |
| Dina Vivian | Psychologist, Clinical | 1239 N Country Rd, Suite 6a, Stony Brook, NY 11790-1920 | |
| Mark Schoenberg | Psychiatry | 1239 N Country Rd, Suite 7, Stony Brook, NY 11790-1920 | |
| Find all physicians in zip 11790 | |||
| City | STONY BROOK |
| Zip Code | 11790 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | STONY BROOK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Michael L Nissenbaum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.