Ennis, David Todd

Ennis, David Todd is an individual health care provider with primary practice located at 1838 Commerce St , Yorktown Heights NY 10598-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ennis, David Todd can be contacted via phone (914) 962-3500.

Contact Information

Primary practice address
1838 Commerce St Yorktown Heights NY 10598-4400
Phone: (914) 962-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 160802 New York

Profile Details

NPI number 1306839592
LBN Legal business name Ennis, David Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 29th, 2011 - about 13 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 1306839592 NPPES
Other 2C5048 HEALTHET
Other 4245064 HEALTHET
Other CK0751 HEALTHET
Other 120894 HEALTHET
Other 961517 HEALTHET
Other 148653 HEALTHET
Other WP483 HEALTHET
MEDICAID 00970489 HEALTHET
Other WS0001194 HEALTHET

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