Individual
DAVID J CLAIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQUARE E, #2G, PHILLIPS AMBULATORY CARE CENTER, NEW YORK, NY 10003-3801
(212) 420-4521
(212) 420-4373
Mailing address
PO BOX 32886, BETH ISRAEL MEDICAL CENTER, DEPT OF GASTROENTEROLOGY, HARTFORD, CT 06150-2886
(212) 420-4521
(212) 420-4373
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
138832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00837132
—
NY
Enumeration date
12/09/2005
Last updated
07/08/2007
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