Individual
DAVID WILLIAM BERREYESA POLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1507
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
334696
NY
Other
Enumeration date
04/20/2022
Last updated
12/03/2025
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