David, Marian

David, Marian is an sole proprietor health care provider with primary practice located at 12510 Queens Blvd Suite 2701, Kew Gardens NY 11415-1519. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. David, Marian can be contacted via phone (718) 261-0444.

Contact Information

Primary practice address
12510 Queens Blvd Suite 2701 Kew Gardens NY 11415-1519
Phone: (718) 261-0444
Fax: (718) 261-0940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 211683 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 211683 New York

Profile Details

NPI number 1619073046
LBN Legal business name David, Marian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619073046 NPPES
New York MEDICAID 01877994

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