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NPI Code Detail

MEDICARE: DR. EDEN HONIG D.O.

MEDICARE: DR. EDEN HONIG D.O.
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
1174400000XSpecialist222690NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205878121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDEN HONIG D.O.
Provider Business Mailing Address
First Line : 111 ADAMS ST
Second Line :
City : SEA CLIFF
State : NY
Zip : 11579-1623
Country : US
Telephone Number : 718-347-0494
Fax Number : 718-347-6793
Provider Business Practice Location Address
First Line : 6 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 718-347-0494
Fax Number : 718-347-6793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 07/09/2007

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