Provider Demographics
NPI:1043311574
Name:KNAPP, ALBERT B (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:B
Last Name:KNAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4152
Mailing Address - Country:US
Mailing Address - Phone:212-737-3446
Mailing Address - Fax:212-737-9112
Practice Address - Street 1:760 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4152
Practice Address - Country:US
Practice Address - Phone:212-737-3446
Practice Address - Fax:212-737-9112
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143007207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY47D381Medicare PIN