MEDICARE: GERALD EINAUGLER MD PC

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

General Provider Information

NPI Number	:	1689855983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERALD EINAUGLER MD PC

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	:	PRESIDENT
Name	:	GERALD EINAUGLER
Credential	:	MD
Telephone Number	:	516-532-3720

Provider Enumeration Date	:	11/15/2007
Last Update Date	:	11/15/2007

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