Provider Demographics
NPI:1437208949
Name:ALAN B. NERENBERG, MD,PC
Entity Type:Organization
Organization Name:ALAN B. NERENBERG, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:NERENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-762-6622
Mailing Address - Street 1:4518 PARSONS BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2217
Mailing Address - Country:US
Mailing Address - Phone:718-762-6622
Mailing Address - Fax:718-762-6090
Practice Address - Street 1:4518 PARSONS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2217
Practice Address - Country:US
Practice Address - Phone:718-762-6622
Practice Address - Fax:718-762-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty