Nadler, Jerome

Nadler, Jerome is an sole proprietor health care provider with primary practice located at 2 Cornell Ct , East Setauket NY 11733-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nadler, Jerome can be contacted via phone (631) 751-7242.

Contact Information

Primary practice address
2 Cornell Ct East Setauket NY 11733-1106
Fax: (631) 751-7242
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 097551 New York

Profile Details

NPI number 1952363814
LBN Legal business name Nadler, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Aug 15th, 2012 - about 12 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 1952363814 NPPES
New York MEDICAID 00623501

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