New York
Office of the Professions
NUSSBAUM JACK
Medicine (Physician, Including M Ds & D Os)
License number
165161
Date granted
01/06/1986
Date expires
03/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LAKE RONKONKOMA NY
nymedicine.org
ID 30234037
LAST UPDATED 2026-05-15 12:51:01 UTC
LAST UPDATED 2026-05-15 12:51:01 UTC
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