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Individual
DR. DAVID IMMANUEL
Active
Individual
DR. DAVID IMMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083895
GHI HMO
NY
01
—
0147263
GHI PPO
NY
05
—
02552734
—
NY
01
—
1131132
AETNA HMO
NY
01
—
169104
VYTRA
NY
01
—
175761P
HIP
NY
01
—
205299491
UNITED HEALTH CARE
NY
01
—
231402-9W
WORKER'S COMP
NY
01
—
575B61
EMPIRE BC- HEMPSTEAD
NY
01
—
575B62
EMPIRE BC-HICKSVILLE
NY
01
—
6C0380
HEALTHNET
NY
01
—
7602597
AETNA
NY
01
—
P3321000
OXFORD
NY
Enumeration date
06/08/2006
Last updated
02/29/2016
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