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Individual

MARIAN DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12510 QUEENS BLVD, SUITE 2701, KEW GARDENS, NY 11415-1519
(718) 261-0444
(718) 261-0940
Mailing address
12510 QUEENS BLVD, SUITE 2701, KEW GARDENS, NY 11415-1519
(718) 261-0444
(718) 261-0940

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
211683
NY
207RC0000X
Cardiovascular Disease Physician
Primary
211683
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01877994
NY
Enumeration date
09/15/2006
Last updated
10/24/2022
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