Provider Demographics
NPI:1124691332
Name:NOBIS MD PC
Entity type:Organization
Organization Name:NOBIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIUSZ
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-644-1660
Mailing Address - Street 1:455 MAIN ST APT 10E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0199
Mailing Address - Country:US
Mailing Address - Phone:646-644-1660
Mailing Address - Fax:
Practice Address - Street 1:3485 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2016
Practice Address - Country:US
Practice Address - Phone:718-828-4859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty