Organization
FAVATE NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT FAVATE M.D. (PRESIDENT)
(212) 675-3878
Entity
Organization
Contact information
Practice address
80 FIFTH AVENUE SUITE 1605, NEW YORK, NY 10011
(212) 675-3878
(212) 647-1931
Mailing address
80 FIFTH AVENUE SUITE 1605, NEW YORK, NY 10011
(212) 675-3878
(212) 647-1931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
161583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01602400
—
NY
01
—
4637585
AETNA PPO
NY
01
—
7C6669
HEALTHNET
—
01
—
P3239454
OXFORD
—
Enumeration date
12/07/2010
Last updated
12/07/2010
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