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NPI Code Detail

MEDICARE: JAMES L NEUENDORF M.D.

MEDICARE: JAMES L NEUENDORF M.D.
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
1207Q00000XFamily Medicine Physician160114NY

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 : 1831199553
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES L NEUENDORF M.D.
Provider Business Mailing Address
First Line : 3 BARKER AVE
Second Line : FL 4
City : WHITE PLAINS
State : NY
Zip : 10601-1509
Country : US
Telephone Number : 914-949-1199
Fax Number : 914-949-1245
Provider Business Practice Location Address
First Line : 3 BARKER AVE
Second Line : FL 4
City : WHITE PLAINS
State : NY
Zip : 10601-1509
Country : US
Telephone Number : 914-949-1199
Fax Number : 914-949-1245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 04/03/2015

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