Basic Information
Provider Information
NPI: 1558427930
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EPSTEIN
FirstName: ERIC
MiddleName: JASON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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Mailing Information
Address1: 111 E 210TH ST
Address2: DIVISION OF ENDOCRINOLOGY, MONTEFIORE MEDICAL CENTER
City: BRONX
State: NY
PostalCode: 104672401
CountryCode: US
TelephoneNumber: 8666338255
FaxNumber: 9147212992
Practice Location
Address1: 495 CENTRAL PARK AVE
Address2: MONTEFIORE MEDICAL SPECIALISTS
City: SCARSDALE
State: NY
PostalCode: 105831068
CountryCode: US
TelephoneNumber: 8666338255
FaxNumber: 9147212992
Other Information
ProviderEnumerationDate: 12/29/2006
LastUpdateDate: 09/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X230174NYY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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