Provider Demographics
NPI:1407103526
Name:NUNBERG, NURIT (MS)
Entity Type:Individual
Prefix:MS
First Name:NURIT
Middle Name:
Last Name:NUNBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312-38 STREET
Mailing Address - Street 2:YELED V YALDA'S
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-9833
Mailing Address - Country:US
Mailing Address - Phone:718-686-3700
Mailing Address - Fax:718-686-3560
Practice Address - Street 1:1312-38 STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-9833
Practice Address - Country:US
Practice Address - Phone:718-686-3700
Practice Address - Fax:718-686-3560
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist