Healthcare Provider Details

I. General information

NPI: 1467851550
Provider Name (Legal Business Name): EDUARDO DEL ORBE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 WEBSTER AVE
BRONX NY
10457
US

IV. Provider business mailing address

PO BOX 260
IRVINGTON NY
10533
US

V. Phone/Fax

Practice location:
  • Phone: 718-518-5232
  • Fax: 718-518-5636
Mailing address:
  • Phone: 718-518-5232
  • Fax: 718-518-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number299496
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: