Israel, Michael B

Israel, Michael B is an individual health care provider with primary practice located at 240 Meeting House Ln , Southampton NY 11968-5009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Israel, Michael B can be contacted via phone (631) 726-8200.

Contact Information

Primary practice address
240 Meeting House Ln Southampton NY 11968-5009
Phone: (631) 726-8200
Fax: (631) 726-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1475431 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 147543 New York

Profile Details

NPI number 1366407009
LBN Legal business name Israel, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366407009 NPPES
New York MEDICAID 00662886

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