Individual
DR. DAVID IRA LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
431 BEACH 129 STREET, BELLE HARBOR, NY 11694-1516
(718) 318-3434
(718) 318-3723
Mailing address
431 BEACH 129 STREET, BELLE HARBOR, NY 11694-1516
(718) 318-3434
(718) 318-3723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160524-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01057643
—
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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