Provider Demographics
NPI:1265686075
Name:OBERSTEIN, PAUL ELIEZER (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ELIEZER
Last Name:OBERSTEIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:177 FT WASHINGTN AVE
Mailing Address - Street 2:MHB 6GN 435
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3733
Mailing Address - Country:US
Mailing Address - Phone:212-305-0592
Mailing Address - Fax:212-305-3035
Practice Address - Street 1:177 FT WASHINGTN AVE
Practice Address - Street 2:MHB 6GN 435
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3733
Practice Address - Country:US
Practice Address - Phone:212-305-0592
Practice Address - Fax:212-305-3035
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2016-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT188327207R00000X
NY257682207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine