Provider Demographics
NPI:1174630032
Name:EID, JEAN FRANCOIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN FRANCOIS
Middle Name:
Last Name:EID
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 1:435 EAST 63RD STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-535-6690
Mailing Address - Fax:212-535-7025
Practice Address - Street 1:435 EAST 63RD STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5016
Practice Address - Country:US
Practice Address - Phone:212-535-6690
Practice Address - Fax:212-535-7025
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155846174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA62351Medicare UPIN
NY34E421Medicare PIN