Individual
DR. DAVID JOHN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 793-5886
Mailing address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 793-5886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056825
GHI-HMO
NY
01
—
000021202440
FIDELIS
NY
01
—
00025171701
UNIVERA
NY
01
—
000496674001
BLUE SHIELD WNY
NY
05
—
02116425
—
NY
01
—
080159576
RAILROAD MEDICARE
NY
01
—
08952
MVP
NY
01
—
10048591
CDPHP
NY
01
—
10472731
CAQH
NY
01
—
27V731
BLUE CROSS BLUE SHIELD
NY
01
—
5998716
GHI
NY
01
—
7752353
AETNA
NY
01
—
CD1981
RAILROAD MEDICARE GROUP #
NY
01
—
NY0065274
TRICARE
NY
Enumeration date
11/18/2005
Last updated
08/17/2021
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