Provider Demographics
NPI:1497193387
Name:STREB, JEFFREY WILLIAM (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WILLIAM
Last Name:STREB
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:10606 HILLVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2125
Mailing Address - Country:US
Mailing Address - Phone:818-554-2164
Mailing Address - Fax:818-554-2164
Practice Address - Street 1:222 STATION PLZ N STE 509
Practice Address - Street 2:DEPARTMENT OF MEDICINE, WINTHROP UNIVERSITY HOSPITAL
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3893
Practice Address - Country:US
Practice Address - Phone:516-663-2381
Practice Address - Fax:516-663-8796
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2021-12-01
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1336032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology