Provider Demographics
NPI:1376628677
Name:COBELLI, NEIL J (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:J
Last Name:COBELLI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1250 WATERS PL
Mailing Address - Street 2:11TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2720
Mailing Address - Country:US
Mailing Address - Phone:347-577-4450
Mailing Address - Fax:347-577-4451
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:11TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:347-577-4450
Practice Address - Fax:347-577-4451
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2011-10-07
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Provider Licenses
StateLicense IDTaxonomies
NY138234207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00805550Medicaid
NY00805550Medicaid