1649680737 NPI number — CHARLOTTE ARONIN BIRNBAUM M.D.

Table of content: CHARLOTTE ARONIN BIRNBAUM M.D. (NPI 1649680737)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649680737 NPI number — CHARLOTTE ARONIN BIRNBAUM M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRNBAUM
Provider First Name:
CHARLOTTE
Provider Middle Name:
ARONIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARONIN
Provider Other First Name:
CHARLOTTE
Provider Other Middle Name:
GELLER
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649680737
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
73 SPRING STREET
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-431-4749
Provider Business Mailing Address Fax Number:
917-210-4316

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
73 SPRING STREET
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-431-4749
Provider Business Practice Location Address Fax Number:
917-210-4316
Provider Enumeration Date:
04/29/2014

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207N00000X , with the licence number: 289467 , 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