Provider Demographics
NPI:1356434575
Name:POSNER, JOEL I (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:I
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 BURKE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3814
Mailing Address - Country:US
Mailing Address - Phone:718-654-5900
Mailing Address - Fax:718-654-0053
Practice Address - Street 1:941 BURKE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3814
Practice Address - Country:US
Practice Address - Phone:718-654-5900
Practice Address - Fax:718-654-0053
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201635207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG36047Medicare UPIN