Provider Demographics
NPI:1114900958
Name:MACLAREN, NOEL K I (MD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:K
Last Name:MACLAREN
Suffix:I
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 1:200 W 57TH ST
Mailing Address - Street 2:SUITE 605
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3211
Mailing Address - Country:US
Mailing Address - Phone:212-371-0658
Mailing Address - Fax:212-371-3744
Practice Address - Street 1:200 WEST 57TH STREET
Practice Address - Street 2:SUITE 605
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-371-0658
Practice Address - Fax:212-371-3744
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216894174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6617656OtherCIGNA
NY6C2389OtherHEALTHNET
NY7E3351OtherEMPIRE BC/BS
NY0179566OtherGHI
NY199680301OtherHEALTHPLUS
NY721426740OtherAETNA
NYP2427771OtherOXFORD
NY1984749OtherUNITED HEALTHCARE
NY0179566OtherGHI