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1013969526

NPI Code Detail

MEDICARE: DR. IDDO NETANYAHU MD

MEDICARE: DR. IDDO NETANYAHU 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
1	2085R0202X	Diagnostic Radiology Physician	167192	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00026402001	OTHER	NY	UNIVERA
2	000921963001	OTHER	NY	HEALTHNOW (BUFFALO)
3	542067663	OTHER	NY	UNITED HEALTHCARE
4	MDH356	OTHER	NY	PREFERRED CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P010167192	OTHER	NY	BLUE CHOICE (GRIPA)
7	P010167195	OTHER	NY	BCBS
8	P010167192	OTHER	NY	BCBS OF CNY

General Provider Information

NPI Number	:	1013969526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IDDO NETANYAHU MD

Provider Business Mailing Address
First Line	:	5 THE CIRCLE
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843
Country	:	US
Telephone Number	:	607-324-2244
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 CANISTEO ST
Second Line	:
City	:	HORNELL
State	:	NY
Zip	:	14843-2104
Country	:	US
Telephone Number	:	607-324-8255
Fax Number	:	607-324-8774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	05/08/2008

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Directions to “ DR. IDDO NETANYAHU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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