1962598078 NPI number — PROF. URIEL MORAV HALBREICH MD

Table of content: PROF. URIEL MORAV HALBREICH MD (NPI 1962598078)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962598078 NPI number — PROF. URIEL MORAV HALBREICH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HALBREICH
Provider First Name:
URIEL
Provider Middle Name:
MORAV
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962598078
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3435 MAIN ST BLDG 5
Provider Second Line Business Mailing Address:
BIOBEHAVIOR PROGRAM,SUNY-AB,HAYES C,STE 1
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14214-3016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-929-3808
Provider Business Mailing Address Fax Number:
716-829-3812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3435 MAIN ST BLDG 5
Provider Second Line Business Practice Location Address:
BIOBEHAVIOR PROGRAM,SUNY-AB,HAYES C,STE 1
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14214-3016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-929-3808
Provider Business Practice Location Address Fax Number:
716-829-3812
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  153 408 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com