# DIABETES & METABOLISM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVIDENCE-BASED MEDICINE INC
- **Other names:** Diabetes & Metabolism PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528304342
- **Legal business name:** EVIDENCE-BASED MEDICINE INC
- **Authorized official:** DR. RONALD J INNERFIELD M.D. (SOLE OFFICER)
- **Authorized official phone:** (516) 801-0170

## Contact information

- **Practice address:** 29 GLEN COVE AVE, SUITE 108, GLEN COVE, NY 11542-2831
- **Practice address phone:** (516) 801-0170
- **Practice address fax:** (845) 230-6639
- **Mailing address:** PO BOX 54, AUSTERLITZ, NY 12017-0054
- **Mailing address phone:** (518) 392-2339
- **Mailing address fax:** (845) 230-6639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 118187 | NY | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 08/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063457950 | NPI (INDIVIDUAL) | NY |
| 01 | — | 3X7921 | MEDICARE PTAN | NY |