Provider Demographics
NPI:1528019981
Name:ERLANGER, STEVEN MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARTIN
Last Name:ERLANGER
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 1:825 NORTHERN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5323
Mailing Address - Country:US
Mailing Address - Phone:516-773-7500
Mailing Address - Fax:516-773-7595
Practice Address - Street 1:825 NORTHERN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5323
Practice Address - Country:US
Practice Address - Phone:516-773-7500
Practice Address - Fax:516-773-7595
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104208174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1289980001Medicare NSC
NYB16716Medicare UPIN
NY571661Medicare ID - Type Unspecified