Engelhardt, Martin B

Engelhardt, Martin B is an individual health care provider with primary practice located at 77 Quaker Ridge Rd Suite 200A, New Rochelle NY 10804-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Engelhardt, Martin B can be contacted via phone (914) 235-8224.

Contact Information

Primary practice address
77 Quaker Ridge Rd Suite 200A New Rochelle NY 10804-2808
Phone: (914) 235-8224
Fax: (914) 235-6940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 205777 New York

Profile Details

NPI number 1639178023
LBN Legal business name Engelhardt, Martin B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 20th, 2008 - about 16 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 1639178023 NPPES
New York MEDICAID 01563395

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