Basic Information
Provider Information
NPI: 1124097308
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EGGERS
FirstName: ARNOLD
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 450 CLARKSON AVE
Address2: BOX 1262
City: BROOKLYN
State: NY
PostalCode: 112032056
CountryCode: US
TelephoneNumber: 7182708867
FaxNumber: 7182701794
Practice Location
Address1: 450 CLARKSON AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112032056
CountryCode: US
TelephoneNumber: 7182703188
FaxNumber: 7182703840
Other Information
ProviderEnumerationDate: 03/17/2006
LastUpdateDate: 08/04/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X126234-1NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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