Conway, David

Conway, David is an individual health care provider with primary practice located at 10 Medical Dr Suite B, Port Jefferson Station NY 11776-1590. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Conway, David can be contacted via phone (631) 474-1111.

Contact Information

Primary practice address
10 Medical Dr Suite B Port Jefferson Station NY 11776-1590
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017130-1 New York

Profile Details

NPI number 1164850004
LBN Legal business name Conway, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Oct 30th, 2013 - about 11 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.

Request for update

Popular Providers