# DR. DAVID IMMANUEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053352658
- **Gender:** Man
- **Credential:** M.D., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 231402 | NY | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 02/29/2016

## 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 |