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Individual

DR. ERIC P. NEIBART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 PARK AVE, SUITE 1C, NEW YORK, NY 10128-1202
(212) 427-9550
Mailing address
1100 PARK AVE, SUITE 1C, NEW YORK, NY 10128-1202
(212) 427-9550

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
147878-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00785093
NY
01
133411983
TAX IDENTIFICATION NUMBER
NY
01
415469
UHC PROVIDER NUMBER
NY
01
9632550
GHI PROVIDER NUMBER
NY
01
N74672
HEALTHNET PROVIDER NUMBER
NY
01
NS533
OXFORD PROVIDER NUMBER
NY
Enumeration date
05/15/2006
Last updated
03/11/2011
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