Healthcare Provider Details

I. General information

NPI: 1811129448
Provider Name (Legal Business Name): REMY OBAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2009
Last Update Date: 08/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BEAVER ST
NEW YORK NY
10004-2431
US

IV. Provider business mailing address

8692 DUNTON ST
HOLLIS NY
11423-1319
US

V. Phone/Fax

Practice location:
  • Phone: 917-237-5899
  • Fax:
Mailing address:
  • Phone: 718-468-7274
  • Fax: 917-237-5919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number114716
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: