Provider Demographics
NPI:1669644761
Name:AUERBACH, ADAM G (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:G
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 COMMUNITY DRIVE
Mailing Address - Street 2:DIVISION OF CARDIOLOGY
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030
Mailing Address - Country:US
Mailing Address - Phone:516-562-4100
Mailing Address - Fax:
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5312
Practice Address - Country:US
Practice Address - Phone:516-466-8900
Practice Address - Fax:516-482-1808
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241686207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease