Nudelman, Jeffrey S
Nudelman, Jeffrey S is an individual health care provider with primary practice located at 500 W Main St #210, Babylon NY 11702-3027. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nudelman, Jeffrey S can be contacted via phone (631) 957-3355.Contact Information
Primary practice address
500 W Main St #210
Babylon NY 11702-3027
Phone: (631) 957-3355
Fax: (631) 957-4378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 175528-1 | New York |
Profile Details
| NPI number | 1417936469 |
|---|---|
| LBN Legal business name | Nudelman, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Apr 16th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417936469 | NPPES |
| New York | MEDICAID | 01129991 |
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