Individual
DR. DAVID JON REVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
10421 68TH DR, APT. B47, FOREST HILLS, NY 11375-3455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
240831
NY
Other
Enumeration date
07/08/2008
Last updated
03/15/2010
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