Individual
LOUIS DANIEL NEISTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 66TH STREET, NEW YORK, NY 10021
(212) 838-4243
(212) 838-7370
Mailing address
400 EAST 66TH STREET, NEW YORK, NY 10021
(212) 838-4243
(212) 838-7370
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
119859
NY
2085R0202X
Diagnostic Radiology Physician
Primary
119859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3263859
CIGNA
—
Enumeration date
09/25/2006
Last updated
07/16/2013
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