MEDICARE: JEFFREY AMBINDER 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	207RH0003X	Hematology & Oncology Physician	138906	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225142656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY AMBINDER MD

Provider Business Mailing Address
First Line	:	19 BAKER AVE
Second Line	:	SUITE 100
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-1359
Country	:	US
Telephone Number	:	845-454-1942
Fax Number	:	845-452-4638

Provider Business Practice Location Address
First Line	:	2649 STRANG BLVD
Second Line	:	SUITE 208
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2939
Country	:	US
Telephone Number	:	914-245-6000
Fax Number	:	914-245-1675

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	10/02/2012

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