Michael Leonard Nissenbaum in Centereach - Cognitive & Behavioral
Michael Leonard Nissenbaum - NPI 1174546725
Michael Leonard Nissenbaum is a Cognitive & Behavioral in Centereach, New York. Michael Leonard Nissenbaum practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Michael Leonard Nissenbaum is 1174546725. The last update date is 2007-07-08.
Michael Leonard Nissenbaum's current location address is Po Box 625, Centereach, New York. You can contact this provider via phone number 6317379500 and fax number 6317379512. The mailing address for Michael Leonard Nissenbaum is Po Box 625, Centereach, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Leonard Nissenbaum |
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Address | Po Box 625, Centereach, New York |
Phone Number | 6317379500 |
Fax Number | 6317379512 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1174546725 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 625 |
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City | Centereach |
State | New York (NY) |
Post Code | 117200625 |
Phone Number | 6317379500 |
Fax Number | 6317379512 |
Provider's Primary Taxonomy Detail
Speciality | Cognitive & Behavioral |
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Taxonomy | 103Tb0200X |
Licence No | 10232 |
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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What is the unique identification code assigned to Michael Leonard Nissenbaum by the Centers for Medicare & Medicaid Services?
The Michael Leonard Nissenbaum has been issued the NPI (National Provider Identifier) 1174546725. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Leonard Nissenbaum?
The Michael Leonard Nissenbaum is situated at Po Box 625, in the city of Centereach, state of NY, with the zip code 117200625.
What is Michael Leonard Nissenbaum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Leonard Nissenbaum is Cognitive & Behavioral, and the corresponding taxonomy classification code for this specialized field is 103Tb0200X.
When did Michael Leonard Nissenbaum receive its 1174546725 assignment?
The Michael Leonard Nissenbaum was assigned its 1174546725 on 2006-07-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Michael Leonard Nissenbaum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael Leonard Nissenbaum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.