Provider Demographics
NPI:1992778971
Name:POSEN, JEFFREY II (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:POSEN
Suffix:II
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 1:4295 HEMPSTEAD TURNPIKE
Mailing Address - Street 2:NEW ISLAND HOSPITAL PATHOLOGY DEPT
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714
Mailing Address - Country:US
Mailing Address - Phone:516-520-2295
Mailing Address - Fax:516-719-3935
Practice Address - Street 1:4295 HEMPSTEAD TPKE
Practice Address - Street 2:NEW ISLAND HOSPITAL
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5713
Practice Address - Country:US
Practice Address - Phone:516-520-2295
Practice Address - Fax:516-719-3935
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217998-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55R511OtherBLUE CROSS PROVIDER#
NY55R501Medicare ID - Type Unspecified
NYI05190Medicare UPIN