| David S. Ludwig, M.d., P.c. | |
|
20 E 74th St Suite 1a New York NY 10021-2654 | |
| (212) 472-8019 | |
| (212) 472-2705 |
| Full Name | David S. Ludwig, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 E 74th St, New York, New York |
| Authorized Official Name and Position | David Steven Ludwig (PRESIDENT) |
| Authorized Official Contact | 2124728019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Ludwig, M.d., P.c. 20 E 74th St Suite 1a New York NY 10021-2654 Ph: (212) 472-8019 | David S. Ludwig, M.d., P.c. 20 E 74th St Suite 1a New York NY 10021-2654 Ph: (212) 472-8019 |
| NPI Number | 1114051158 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/20/2010 |
| Medicare PECOS PAC ID | 4789861972 |
|---|---|
| Medicare Enrollment ID | O20110616000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114051158 | NPI | - | NPPES |
| P2152996 | Other | OXFORD PROVIDER # | |
| 168924 | Other | MHN PROVIDER # | |
| 4278150 | Other | AETNA PROVIDER # | |
| 143214 | Other | HIP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 143218 (New York) | Primary |
| Provider Name | David S Ludwig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023142056 PECOS PAC ID: 8123205317 Enrollment ID: I20110616000280 |
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