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Contact Information

CAROLYN A NUSSBAUM, LCSW
80TH ST & 41ST AVE
ELMHURST, NY11373-1329
 Phone: 718-334-3900
 Fax: 718-334-5958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CAROLYN A NUSSBAUM · (Female)

NPI # 1013088509
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # R50896
  • NY Medicaid 00246075
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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