Provider Demographics
NPI:1780669887
Name:LORBER, DANIEL (MD,FACP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:LORBER
Suffix:
Gender:M
Credentials:MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 161ST ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1414
Mailing Address - Country:US
Mailing Address - Phone:718-762-3111
Mailing Address - Fax:718-353-6315
Practice Address - Street 1:5945 161ST ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-1414
Practice Address - Country:US
Practice Address - Phone:718-762-3111
Practice Address - Fax:718-353-6315
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-12
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119523207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133442196OtherMAGNACARE
NY133442196OtherUNITED HEALTHCARE
NYDL07225210OtherEMPIRE B/C B/S
NY0364819002OtherCIGNA
NY28P0181OtherNEW YORK PRESBYTERIAN
NYDS293OtherOXFORD
NY0C3554OtherPHS
NY166148OtherELDERPLAN
NY92152GMedicare ID - Type Unspecified
NYB88849Medicare UPIN