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EAST END ENDOCRINE ASSOCIATES PC NPI 1366496259


NPI Information

NPI: 1366496259
Provider Name: EAST END ENDOCRINE ASSOCIATES PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
189 MAIN RD
RIVERHEAD, NY
ZIP 11901
Phone: (631) 288-7120
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EAST END ENDOCRINE ASSOCIATES PC is an endocrinology and diabetes and metabolism internal medicine in Riverhead, NY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. EAST END ENDOCRINE ASSOCIATES PC NPI is 1366496259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

189 MAIN RD
RIVERHEAD, NY
ZIP 11901-901
Phone: (631) 288-7120
Fax: (631) 288-7124

The provider's authorized official is Alan Goldenberg .
The authorized official title is President and has the following contact phone number (631) 288-7120.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 10/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism201208NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G56960MEDICARE UPINNEW YORK
226N741MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
301800471MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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