Michael Nissenbaum, PH.D

NPI 1174546725 · on the registry since 2006 · sole proprietor

Practice

Address: 2100 Middle Country Rd
Suite 28w
Centereach, NY 11720
Phone: (631) 737-9500
Fax: (631) 737-9512
Organisation at this address: Honest Physical Therapy Pllc
Cosmos Mental Health Counseling Llp
Open-Minded Marriage & Family Therapy, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 103TB0200X
103TB0200X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York