Individual
DR. DAVID MATTHEW LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 NORTHERN BLVD, SUITE 160, GREAT NECK, NY 11021-5315
(516) 498-8400
Mailing address
833 NORTHERN BLVD, SUITE 160, GREAT NECK, NY 11021-5315
(516) 498-8400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
251668-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
251668-1
NY
Other
Enumeration date
06/15/2007
Last updated
04/30/2013
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