Provider Demographics
NPI:1194877738
Name:ROBERT P. NUSSBAUM PH.D DBA SOLUTIONS FOR HEALTH
Entity type:Organization
Organization Name:ROBERT P. NUSSBAUM PH.D DBA SOLUTIONS FOR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:NUSSBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-853-3333
Mailing Address - Street 1:PO BOX 560
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:NY
Mailing Address - Zip Code:12734-0560
Mailing Address - Country:US
Mailing Address - Phone:718-853-3333
Mailing Address - Fax:718-853-3333
Practice Address - Street 1:59 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-1888
Practice Address - Country:US
Practice Address - Phone:800-576-7437
Practice Address - Fax:845-292-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY-005720103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty