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NPI Code Detail

MEDICARE: ALLEN STEVEN LAUB M.D.

MEDICARE: ALLEN STEVEN LAUB 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
1208000000XPediatrics Physician097040NY

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 : 1003825258
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN STEVEN LAUB M.D.
Provider Business Mailing Address
First Line : 171 RAMAPO RD
Second Line :
City : GARNERVILLE
State : NY
Zip : 10923-1552
Country : US
Telephone Number : 845-947-1772
Fax Number : 845-947-4487
Provider Business Practice Location Address
First Line : 171 RAMAPO RD
Second Line :
City : GARNERVILLE
State : NY
Zip : 10923-1552
Country : US
Telephone Number : 845-947-1772
Fax Number : 845-947-4487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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Directions to “ ALLEN STEVEN LAUB M.D.” Practice Location

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