What is Eitel Providence's NPI number?

Eitel Providence's National Provider Identifier (NPI) is 1215145552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Eitel Providence's specialty?

Eitel Providence is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Eitel Providence located?

Eitel Providence's practice location on file with NPPES is 3311 Newkirk Ave, Brooklyn, NY 11203-6108.

What is Eitel Providence's phone number?

The practice phone number listed in the NPPES registry for Eitel Providence is (718) 284-4423.

Is Eitel Providence's NPI active?

Yes — Eitel Providence's NPI (1215145552) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Eitel Providence, M.D.

NPI 1215145552 · Specialist · Brooklyn, NY

Eitel Providence, M.D. is a Specialist provider in Brooklyn, NY (NPI 1215145552).

Provider details

NPI number: 1215145552
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 155818 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 155818 (NY)
Other Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3311 Newkirk Ave

Brooklyn, NY 11203-6108

Phone: (718) 284-4423

Fax: (718) 469-8708

Street-level locationGet directions

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Mailing address