Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Eitel Emanuel Providence, MD

Individual provider Specialist · NPI 1215145552

Dr. Eitel Emanuel Providence, MD is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3311 Newkirk Ave
Brooklyn, NY 11203-6108
Phone: (718) 284-4423
Fax: (718) 469-8708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 155818 (NY)

Record details

NPI number1215145552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007

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