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Individual

DR. ALFRED NEUGUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0178
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 305-9414
(212) 305-9413

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
136912
NY
207RX0202X
Medical Oncology Physician
Primary
136912
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00791979
NY
Enumeration date
07/27/2006
Last updated
06/14/2016
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