Organization
DAVID IMMANUEL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID IMMANUEL M.D., PH.D. (OWNER)
(516) 565-2095
Entity
Organization
Contact information
Practice address
230 HILTON AVE, SUITE 207, HEMPSTEAD, NY 11550-8115
(516) 565-2095
(516) 565-2080
Mailing address
230 HILTON AVE, SUITE 207, HEMPSTEAD, NY 11550-8115
(516) 565-2095
(516) 565-2080
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
231402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02552734
—
NY
Enumeration date
04/23/2007
Last updated
03/18/2014
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