Provider Demographics
NPI:1518295906
Name:SOIFER, IRVING (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:
Last Name:SOIFER
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 1:888 EIGHTH AVENUE
Mailing Address - Street 2:APT 16N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5714
Mailing Address - Country:US
Mailing Address - Phone:212-245-0018
Mailing Address - Fax:
Practice Address - Street 1:888 EIGHTH AVENUE
Practice Address - Street 2:APT 16N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5714
Practice Address - Country:US
Practice Address - Phone:212-245-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079385208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice