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NPI Code Detail

MEDICARE: ROGER IRA EMERT M.D.

MEDICARE: ROGER IRA EMERT 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
1207RA0201XAllergy & Immunology (Internal Medicine) Physician197044NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
204M161OTHERNYEMPIRE BC/BS

General Provider Information

NPI Number : 1184623134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER IRA EMERT M.D.
Provider Business Mailing Address
First Line : 555 MADISON AVE FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3418
Country : US
Telephone Number : 646-754-2000
Fax Number : 646-754-9690
Provider Business Practice Location Address
First Line : 555 MADISON AVE FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3418
Country : US
Telephone Number : 646-754-2000
Fax Number : 646-754-9690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/21/2021

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