Individual
DAVID CHARLES VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168 ST, PH 1137 COLUMBIA UNIVERSITY MED CENTER, NEW YORK, NY 10032-3784
(212) 305-2995
(212) 305-6792
Mailing address
622 W 168 ST, PH 1137 ASSOCIATES IN EMERGENCY SERVICES CLINIC, NEW YORK, NY 10032-3784
(212) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088099
—
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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