Pisetsky, David S

Pisetsky, David S is an individual health care provider with primary practice located at 4101 N Roxboro St , Durham NC 27704-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Pisetsky, David S can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
4101 N Roxboro St Durham NC 27704-2121
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 22806 North Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 22806 New York

Profile Details

NPI number 1912089020
LBN Legal business name Pisetsky, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1912089020 NPPES
North Carolina MEDICAID 8967796

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