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Organization
MARIAN DAVID, MD, PC
Active
Organization
MARIAN DAVID, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN DAVID MD (OWNER)
(718) 261-0444
Entity
Organization
Contact information
Practice address
12510 QUEENS BLVD, SUITE 2701, KEW GARDENS, NY 11415-1519
(718) 261-0444
(718) 261-0940
Mailing address
12510 QUEENS BLVD, SUITE 2701, KEW GARDENS, NY 11415-1519
(718) 261-0444
(718) 261-0940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
211683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877994
—
NY
Enumeration date
06/24/2005
Last updated
06/18/2009
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