London, Marc David

London, Marc David is an individual health care provider with primary practice located at 2 Crosfield Ave Ste 202 , West Nyack NY 10994-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. London, Marc David can be contacted via phone (845) 353-4344.

Contact Information

Primary practice address
2 Crosfield Ave Ste 202 West Nyack NY 10994-2219
Phone: (845) 353-4344
Fax: (845) 348-1873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 154602 New York

Profile Details

NPI number 1720140767
LBN Legal business name London, Marc David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1720140767 NPPES
New York MEDICAID 00956818-03
New York Other 3850735-002
New York Other 66D101
New York Other RS156
New York Other 000000008354
New York Other 1000017387
New York Other 122304
New York Other 4199225
New York Other 958837

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