Provider Demographics
NPI:1821259920
Name:NUSSENZWEIG, MICHEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:C
Last Name:NUSSENZWEIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1230 YORK AVE
Mailing Address - Street 2:THE ROCKEFELLER UNIVERSITY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6307
Mailing Address - Country:US
Mailing Address - Phone:212-327-8067
Mailing Address - Fax:212-327-8370
Practice Address - Street 1:1230 YORK AVE
Practice Address - Street 2:THE ROCKEFELLER UNIVERSITY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6307
Practice Address - Country:US
Practice Address - Phone:212-327-8067
Practice Address - Fax:212-327-8370
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY184131-1207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology