Provider Demographics
NPI:1558384867
Name:ALTSCHULER, ERIC LEWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LEWIN
Last Name:ALTSCHULER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:157 EAST 81ST STREET
Mailing Address - Street 2:4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:646-784-3543
Mailing Address - Fax:212-423-6326
Practice Address - Street 1:1901 1ST AVE DEPT PM&R
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6448
Practice Address - Fax:212-423-6326
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD451984208100000X
NJ25MA07902500208100000X
NY227788208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0076287Medicaid
I34269Medicare UPIN
NJ092540Medicare PIN