Individual
DR. DAVID HENRY JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1167 NOSTRAND AVE, BROOKLYN, BROOKLYN, NY 11225-5417
(718) 778-0198
(718) 221-8169
Mailing address
1413 E 104TH ST, APT 1, BROOKLYN, NY 11236-4515
(718) 763-0237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
07/14/2006
Last updated
12/29/2011
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