Provider Demographics
NPI:1831315381
Name:AUERBACH AND TREGERMAN
Entity Type:Organization
Organization Name:AUERBACH AND TREGERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-534-3626
Mailing Address - Street 1:35 E 106TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4421
Mailing Address - Country:US
Mailing Address - Phone:914-714-0310
Mailing Address - Fax:
Practice Address - Street 1:35 E 106TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-4421
Practice Address - Country:US
Practice Address - Phone:212-534-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038952122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01081589Medicaid