Dr. Michael Jonathan Albom
MOHS-Micrographic Surgeon
33 E 70th St 1f
New York
, New York 10021-4941
Dr. Michael Jonathan Albom
MOHS-Micrographic Surgeon
33 E 70th St 1f
New York
, New York 10021-4941
(212) 517-5601
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Jonathan Albom
- 33 E 70th St 1f
- New York, NY
- Zip : 10021-4941
- Fax : (212) 517-5601
- Phone : (212) 517-2121
Second Address
- Dr. Michael Jonathan Albom
- 33 E 70th St 1f
- New York, NY
- Zip : 10021-4941
- Fax : (212) 517-5601
- Phone : (212) 517-2121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 120823 | NY |
National Provider Identifier
| NPI | 1336291657 |
|---|---|
| Provider Name | Dr. Michael Jonathan Albom |
| First Address | New York, NY 10021-4941 |
| Second Address | New York, NY 10021-4941 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 28/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 712321 | MEDICARE PTAN (01) | NY |
| B79020 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.