# DAVID IMMANUEL, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225256365
- **Authorized official:** DR. DAVID IMMANUEL M.D., PH.D. (OWNER)
- **Authorized official phone:** (516) 565-2095

## Contact information

- **Practice address:** 230 HILTON AVE, SUITE 207, HEMPSTEAD, NY 11550-8115
- **Practice address phone:** (516) 565-2095
- **Practice address fax:** (516) 565-2080
- **Mailing address:** 230 HILTON AVE, SUITE 207, HEMPSTEAD, NY 11550-8115
- **Mailing address phone:** (516) 565-2095
- **Mailing address fax:** (516) 565-2080

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 03/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02552734 | — | NY |