Provider Demographics
NPI:1689855983
Name:GERALD EINAUGLER MD PC
Entity type:Organization
Organization Name:GERALD EINAUGLER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:EINAUGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-532-3720
Mailing Address - Street 1:33 NEWPORT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1013
Mailing Address - Country:US
Mailing Address - Phone:516-532-3720
Mailing Address - Fax:516-791-6416
Practice Address - Street 1:33 NEWPORT DRIVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1013
Practice Address - Country:US
Practice Address - Phone:516-532-3720
Practice Address - Fax:516-791-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129970207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty