Provider Demographics
| NPI: | 1982924452 |
|---|---|
| Name: | HOWARD ADLER MD PC |
| Entity type: | Organization |
| Organization Name: | HOWARD ADLER MD PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | HOWARD |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ADLER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 212-421-3696 |
| Mailing Address - Street 1: | 35 SUTTON PL |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NEW YORK |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10022-2429 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 212-421-3696 |
| Mailing Address - Fax: | 212-421-3235 |
| Practice Address - Street 1: | 35 SUTTON PL |
| Practice Address - Street 2: | |
| Practice Address - City: | NEW YORK |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 10022-2429 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 212-421-3696 |
| Practice Address - Fax: | 212-421-3235 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-06-08 |
| Last Update Date: | 2010-11-18 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | 092930 | 207RG0100X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Single Specialty |