Conyack, David
Conyack, David is an individual health care provider with primary practice located at 200 S Orange Ave Suite 201, Livingston NJ 07039-5817. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Conyack, David can be contacted via phone (197) 332-7799.Contact Information
Primary practice address
200 S Orange Ave Suite 201
Livingston NJ 07039-5817
Phone: (197) 332-7799
Fax: (973) 322-7791
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MB06042200 | New Jersey |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MB06042200 | New Jersey |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MB06042200 | New Jersey |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | MB06042200 | New Jersey |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MB06042200 | New Jersey |
Profile Details
NPI number | 1558402768 |
---|---|
LBN Legal business name | Conyack, David |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2007 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558402768 | NPPES |
New Jersey | MEDICAID | 7371101 |
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