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NPI Code Detail

MEDICARE: JACK I. APELBAUM, M.D., P.L.L.C.

MEDICARE: JACK I. APELBAUM, M.D., P.L.L.C.
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
1207R00000XInternal Medicine Physician158867NY

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 : 1922046648
Entity Type Code : Organization
Provider Name (Legal Business Name) : JACK I. APELBAUM, M.D., P.L.L.C.
Provider Business Mailing Address
First Line : 2083 E 65TH ST
Second Line : ENTRANCE ON AVENUE U
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 718-531-5800
Fax Number : 718-444-4823
Provider Business Practice Location Address
First Line : 2083 E 65TH ST
Second Line : ENTRANCE ON AVENUE U
City : BROOKLYN
State : NY
Zip : 11234-5913
Country : US
Telephone Number : 718-531-5800
Fax Number : 718-444-4823
Authorized Official
Title or Position : OWNER
Name : DR. JACK IRA APELBAUM
Credential : M.D.
Telephone Number : 718-531-5800
Provider Enumeration Date : 06/03/2006
Last Update Date : 06/17/2015

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