Provider Demographics
NPI:1992031660
Name:NOETZEL, MIRIAM PEARL (MD, MS)
Entity Type:Individual
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First Name:MIRIAM
Middle Name:PEARL
Last Name:NOETZEL
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Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:295 FLATBUSH AVENUE EXT
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3001
Mailing Address - Country:US
Mailing Address - Phone:718-643-4134
Mailing Address - Fax:
Practice Address - Street 1:295 FLATBUSH AVENUE EXT
Practice Address - Street 2:FLOOR 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3001
Practice Address - Country:US
Practice Address - Phone:718-643-4134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2061122083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine