Individual
DR. DANIEL C. JAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1051 RIVERSIDE DR, UNIT 21, NEW YORK, NY 10032-1007
(212) 543-5475
(212) 543-5668
Mailing address
1051 RIVERSIDE DR, UNIT 21, NEW YORK, NY 10032-1007
(212) 543-5475
(212) 543-5668
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
160812
NY
2084P0800X
Psychiatry Physician
Primary
160812
NY
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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