Individual
DAVID P WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8 E 3RD ST, NEW YORK, NY 10003-8908
(917) 968-6047
Mailing address
304 DENTON AVE, LYNBROOK, NY 11563-2112
(516) 593-3833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00000922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000922
—
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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