Individual
DAVID J DITULLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5503
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-1616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
312520
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
07/05/2023
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