Individual
DAVID PODWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Mailing address
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042-2057
(516) 466-4700
(516) 466-4810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
218672
NY
2084N0400X
Neurology Physician
Primary
218672-1
NY
Other
Enumeration date
05/20/2006
Last updated
03/04/2009
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