Eitan, Noam

Eitan, Noam is an sole proprietor health care provider with primary practice located at 1221 E 14Th St , Brooklyn NY 11230-4803. He recently has 3 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Hospitals / Psychiatric Hospital, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Eitan, Noam can be contacted via phone (718) 535-1956.

Contact Information

Primary practice address
1221 E 14Th St Brooklyn NY 11230-4803
Phone: (718) 535-1956
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 206352 New York
Hospitals / Psychiatric Hospital 283Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 206352 New York

Profile Details

NPI number 1245249978
LBN Legal business name Eitan, Noam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245249978 NPPES
New York MEDICAID 01752698

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