Individual
ISRAEL SIMON ECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 N VILLAGE AVE STE 115, ROCKVILLE CENTRE, NY 11570-3701
(516) 272-4193
Mailing address
PO BOX 64252, BALTIMORE, MD 21264-4252
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D53347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044300000
—
MD
Enumeration date
05/30/2006
Last updated
06/20/2019
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