Individual
DR. JOSE M. DAVID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ALTON RD, ALBANY, NY 12203-4253
(518) 456-4634
(518) 874-0647
Mailing address
1 ALTON RD, ALBANY, NY 12203-4253
(518) 456-4634
(518) 874-0647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
179838
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
179838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270268
—
NY
Enumeration date
08/16/2005
Last updated
10/09/2019
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