Jonathan David, Md, Pc | |
136 Sagamore Rd Tuckahoe NY 10707-4009 | |
(914) 337-6400 | |
(914) 337-8109 |
Full Name | Jonathan David, Md, Pc |
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Speciality | Internal Medicine |
Location | 136 Sagamore Rd, Tuckahoe, New York |
Authorized Official Name and Position | Jonathan David (PRESIDENT) |
Authorized Official Contact | 9143376400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jonathan David, Md, Pc 136 Sagamore Rd Tuckahoe NY 10707-4009 Ph: (914) 337-6400 | Jonathan David, Md, Pc 136 Sagamore Rd Tuckahoe NY 10707-4009 Ph: (914) 337-6400 |
NPI Number | 1336144104 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 07/28/2010 |
Medicare PECOS PAC ID | 7214840560 |
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Medicare Enrollment ID | O20031112000045 |
Identifier | Type | State | Issuer |
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1336144104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 178695 (New York) | Primary |
Provider Name | Jonathan David |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1922004241 PECOS PAC ID: 9537072764 Enrollment ID: I20031114000249 |
Provider Name | Renuka R Bankulla |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1205819869 PECOS PAC ID: 8729074489 Enrollment ID: I20040420001777 |
Parkway Medical Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elm St, Tuckahoe, NY 10707 Phone: 914-337-0606 Fax: 914-337-6778 |