Individual
DAVID PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(347) 640-1875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
300547
NY
207R00000X
Internal Medicine Physician
PT17594
ND
207RN0300X
Nephrology Physician
17594
ND
207RN0300X
Nephrology Physician
Primary
300547
NY
207RN0300X
Nephrology Physician
PT17594
ND
208M00000X
Hospitalist Physician
300547
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2015
Last updated
09/24/2025
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