MEDICARE: DAVID ENGELBRECHT 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
1	207RR0500X	Rheumatology Physician	173596	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	:	1942240155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ENGELBRECHT M.D.

Provider Business Mailing Address
First Line	:	44 HILLSIDE AVE
Second Line	:
City	:	PLEASANTVILLE
State	:	NY
Zip	:	10570-1934
Country	:	US
Telephone Number	:	914-245-8400
Fax Number	:	914-741-9692

Provider Business Practice Location Address
First Line	:	260 E 188TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5302
Country	:	US
Telephone Number	:	718-220-2020
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/08/2023

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