Individual
DR. IDDO NETANYAHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8255
(607) 324-8774
Mailing address
5 THE CIRCLE, HORNELL, NY 14843
(607) 324-2244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
167192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026402001
UNIVERA
NY
01
—
000921963001
HEALTHNOW (BUFFALO)
NY
05
—
01543131
—
NY
01
—
542067663
UNITED HEALTHCARE
NY
01
—
MDH356
PREFERRED CARE
NY
01
—
P010167192
BLUE CHOICE (GRIPA)
NY
01
—
P010167195
BCBS
NY
Enumeration date
05/16/2006
Last updated
05/08/2008
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