Southren, David B.
Southren, David B. is an individual health care provider with primary practice located at 206 Route 303 , Valley Cottage NY 10989-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Southren, David B. can be contacted via phone (845) 268-0880.Contact Information
Primary practice address
206 Route 303
Valley Cottage NY 10989-2019
Phone: (845) 268-0880
Fax: (845) 268-0882
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 163321-1 | New York |
Profile Details
NPI number | 1770502031 |
---|---|
LBN Legal business name | Southren, David B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Jul 3rd, 2014 - about 11 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 | 1770502031 | NPPES |
New York | MEDICAID | 01097649 |
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