1083726178 NPI number — DR. DAVID LINKER MD

Table of content: DR. DAVID LINKER MD (NPI 1083726178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083726178 NPI number — DR. DAVID LINKER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINKER
Provider First Name:
DAVID
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083726178
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 WEST CRAVER ST
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
HUNTINGTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-421-0020
Provider Business Mailing Address Fax Number:
631-421-5991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 WEST CRAVER ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-421-0020
Provider Business Practice Location Address Fax Number:
631-421-5991
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  218245 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DL050S810 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02362292 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 397829 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: CIGNA . This is a "112234962" identifier . This identifiers is of the category "OTHER".
  • Identifier: 060 . This is a "NEW YORK MEDICAID SPECIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2211282 . This is a "UNITED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C3280 . This is a "CARECORE" identifier . This identifiers is of the category "OTHER".
  • Identifier: LD8245 . This is a "ATLANTAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: CIM . This is a "WCB RATING CODE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218245 . This is a "MEDICAL LICENCE NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218245 . This is a "STATE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 218245 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00040486 . This is a "RRMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 003 . This is a "NYMCDLC" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2668478 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: VYTRA . This is a "142578" identifier . This identifiers is of the category "OTHER".




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