Provider Demographics
NPI:1437472545
Name:NEPTUNE, JEAN-LUC (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-LUC
Middle Name:
Last Name:NEPTUNE
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 1:740 W END AVE
Mailing Address - Street 2:APARTMENT 56
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6246
Mailing Address - Country:US
Mailing Address - Phone:212-316-9585
Mailing Address - Fax:212-316-9585
Practice Address - Street 1:39 W 29TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4249
Practice Address - Country:US
Practice Address - Phone:646-906-8869
Practice Address - Fax:646-871-6880
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212047207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine