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Individual

DR. DAVID IMMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
230 HILTON AVE, SUITE 207, HEMPSTEAD, NY 11550-8115
(631) 265-8780
Mailing address
260 E MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787-2982
(631) 265-8780
(631) 257-5098

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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