Individual
DR. DAVID J. AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17660 UNION TPKE STE 130, FLUSHING, NY 11366
(718) 820-9729
(718) 820-9730
Mailing address
40 VALLEY STREAM PKWY STE 100, MALVERN, PA 19355-1407
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
225185-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
225185-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02944269
—
NY
Enumeration date
01/02/2008
Last updated
05/08/2020
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