Healthcare Provider Details

I. General information

NPI: 1972501351
Provider Name (Legal Business Name): N ORENTREICH & D ORENTREICH PTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 5TH AVE
NEW YORK NY
10021-4115
US

IV. Provider business mailing address

909 5TH AVE
NEW YORK NY
10021-4115
US

V. Phone/Fax

Practice location:
  • Phone: 212-794-0800
  • Fax: 212-794-6261
Mailing address:
  • Phone: 212-794-0800
  • Fax: 212-794-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateNY

VIII. Authorized Official

Name: DAVID SCOTT ORENTREICH
Title or Position: PARTNER
Credential:
Phone: 212-794-0800