Individual
DR. IRA W NIERENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
15B JOHN HANCOCK DR, MONROE TWP, NJ 08831-4807
(609) 395-7087
(609) 395-7087
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
162001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01063501
—
NY
Enumeration date
07/28/2006
Last updated
09/26/2024
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