DR. MICHAEL NISSENBAUM, PH.D.

Psychologist - Cognitive & Behavioral

Active Individual
NPI: 1174546725

Practice Address

2100 MIDDLE COUNTRY RD
SUITE 28W
Centereach, NY 11720

Phone: (631) 737-9500

Specialties

Specialty Code Primary License
Psychologist - Cognitive & Behavioral 103TB0200X Yes 010232 (NY)

Frequently Asked Questions

NPI 1174546725 is the National Provider Identifier for DR. MICHAEL NISSENBAUM, PH.D., a Psychologist - Cognitive & Behavioral provider located in Centereach, NY. This NPI was enumerated on July 25, 2006.
DR. MICHAEL NISSENBAUM, PH.D. practices at 2100 MIDDLE COUNTRY RD, SUITE 28W, Centereach, NY 11720.

Quick Facts

NPI
1174546725
Type
Individual
Enumerated
Jul 25, 2006
Last Updated
Jul 8, 2007

Nearby Providers