Provider Demographics
NPI:1164126876
Name:DUEHR, JAMES (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:DUEHR
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:DUEHR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:805 NORTHERN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5342
Mailing Address - Country:US
Mailing Address - Phone:516-550-2100
Mailing Address - Fax:
Practice Address - Street 1:805 NORTHERN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5342
Practice Address - Country:US
Practice Address - Phone:516-550-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program