1356646244 NPI number — THOMAS W KNEIFEL MD PLLC

Table of content: MICHAEL ELLIOT MARKMAN MD (NPI 1699834283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356646244 NPI number — THOMAS W KNEIFEL MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS W KNEIFEL MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1356646244
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
96 COURT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLATTSBURGH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12901-2733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-561-2281
Provider Business Mailing Address Fax Number:
518-562-3321

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
96 COURT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-2733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-561-2281
Provider Business Practice Location Address Fax Number:
518-562-3321
Provider Enumeration Date:
01/24/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CRINGLE
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
518-562-5128

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  223068 , 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)

  • Identifier: 02361833 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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