Provider Demographics
NPI:1841245289
Name:IRVING BUTERMAN M.D. P.C.
Entity Type:Organization
Organization Name:IRVING BUTERMAN M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-472-8200
Mailing Address - Street 1:950 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0320
Mailing Address - Country:US
Mailing Address - Phone:212-472-8200
Mailing Address - Fax:
Practice Address - Street 1:950 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0320
Practice Address - Country:US
Practice Address - Phone:212-472-8200
Practice Address - Fax:212-650-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121024207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB13040Medicare UPIN
NYI47668Medicare UPIN
NY836E21Medicare ID - Type Unspecified
NY325321Medicare ID - Type Unspecified