MEDICARE: GERALD EINAUGLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	129970	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03467	OTHER	NY	MEDICARE GHI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063692796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD EINAUGLER MD

Provider Business Mailing Address
First Line	:	33 NEWPORT DRIVE
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1013
Country	:	US
Telephone Number	:	516-532-3720
Fax Number	:	516-791-6416

Provider Business Practice Location Address
First Line	:	33 NEWPORT DRIVE
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1013
Country	:	US
Telephone Number	:	516-532-3720
Fax Number	:	516-791-6416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	05/05/2008

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