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NPI Code Detail

MEDICARE: JEFFREY POSEN II M.D.

MEDICARE: JEFFREY POSEN II 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
1174400000XSpecialist217998-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155R511OTHERNYBLUE CROSS PROVIDER#

General Provider Information

NPI Number : 1992778971
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY POSEN II M.D.
Provider Business Mailing Address
First Line : 4295 HEMPSTEAD TURNPIKE
Second Line : NEW ISLAND HOSPITAL PATHOLOGY DEPT
City : BETHPAGE
State : NY
Zip : 11714
Country : US
Telephone Number : 516-520-2295
Fax Number : 516-719-3935
Provider Business Practice Location Address
First Line : 4295 HEMPSTEAD TPKE
Second Line : NEW ISLAND HOSPITAL
City : BETHPAGE
State : NY
Zip : 11714-5713
Country : US
Telephone Number : 516-520-2295
Fax Number : 516-719-3935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 12/12/2008

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