Basic Information
Provider Information
NPI: 1740472505
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEYMAN
FirstName: IGOR
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DAVIS AVE AT E POST RD
Address2: HOSPITALIST DEPARTMENT
City: WHITE PLAINS
State: NY
PostalCode: 106014615
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: DAVIS AVE AT E POST RD
Address2: HOSPITALIST DEPARTMENT
City: WHITE PLAINS
State: NY
PostalCode: 106014615
CountryCode: US
TelephoneNumber: 9146812560
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/15/2007
LastUpdateDate: 12/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA10105CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X252977NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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