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NPI Code Detail

MEDICARE: DR. RODION ERENBURG MD

MEDICARE:  DR. RODION  ERENBURG  MD
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician25MA10157700NJ
2390200000XStudent in an Organized Health Care Education/Training Program
32081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician292785-1NY

General Provider Information

NPI Number : 1013306901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODION ERENBURG MD
Provider Business Mailing Address
First Line : 507 AIRPORT EXECUTIVE PARK
Second Line :
City : NANUET
State : NY
Zip : 10954-5238
Country : US
Telephone Number : 845-262-5313
Fax Number : 845-262-5330
Provider Business Practice Location Address
First Line : 470 N FRANKLIN TPKE STE 107
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1385
Country : US
Telephone Number : 201-809-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 02/13/2026

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Directions to “ DR. RODION ERENBURG MD” Practice Location

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