Individual
DOV STATFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 E PARK AVE, LONG BEACH, NY 11561-3620
(516) 431-1852
(516) 889-0357
Mailing address
370 E PARK AVE, LONG BEACH, NY 11561-3620
(516) 431-1852
(516) 889-0357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
171621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01141877
—
NY
Enumeration date
01/04/2006
Last updated
06/11/2008
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