Individual
DR. IRA NEUSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 MATTHEWS ST, STE 105, GOSHEN, NY 10924-1985
(845) 294-5189
(845) 294-9770
Mailing address
30 MATTHEWS ST, STE 105, GOSHEN, NY 10924-1985
(845) 294-5189
(845) 294-9770
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
146654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00617083
—
NY
Enumeration date
12/08/2006
Last updated
05/19/2017
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