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NPI Code Detail

MEDICARE: DR. ERIC P. NEIBART M.D.

MEDICARE:  DR. ERIC P. NEIBART  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
1207RI0200XInfectious Disease Physician147878-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N74672OTHERNYHEALTHNET PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
39632550OTHERNYGHI PROVIDER NUMBER
4NS533OTHERNYOXFORD PROVIDER NUMBER
5415469OTHERNYUHC PROVIDER NUMBER
6133411983OTHERNYTAX IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1639120512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC P. NEIBART M.D.
Provider Business Mailing Address
First Line : 1100 PARK AVE
Second Line : SUITE 1C
City : NEW YORK
State : NY
Zip : 10128-1202
Country : US
Telephone Number : 212-427-9550
Fax Number :
Provider Business Practice Location Address
First Line : 1100 PARK AVE
Second Line : SUITE 1C
City : NEW YORK
State : NY
Zip : 10128-1202
Country : US
Telephone Number : 212-427-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/11/2011

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Directions to “ DR. ERIC P. NEIBART M.D.” Practice Location

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