Provider Demographics
NPI:1508843269
Name:DELFINER, JOEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:S
Last Name:DELFINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 95000-2392
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-2392
Mailing Address - Country:US
Mailing Address - Phone:212-523-7621
Mailing Address - Fax:212-523-7494
Practice Address - Street 1:425 W 59TH ST
Practice Address - Street 2:SUITE 6A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1104
Practice Address - Country:US
Practice Address - Phone:212-523-6521
Practice Address - Fax:212-523-7494
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2013-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1488172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402331Medicaid
NY95D171Medicare UPIN
NY01402331Medicaid