1245305333 NPI number — DAVID O VOLPI MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245305333 NPI number — DAVID O VOLPI MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID O VOLPI MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1245305333
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
262 CENTRAL PARK W
Provider Second Line Business Mailing Address:
SUITE 1H
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10024-3512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-873-6036
Provider Business Mailing Address Fax Number:
212-873-6169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
262 CENTRAL PARK W
Provider Second Line Business Practice Location Address:
SUITE 1H
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024-3512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-873-6036
Provider Business Practice Location Address Fax Number:
212-873-6169
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VOLPI
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
O
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
212-873-6036

Provider Taxonomy Codes

  • Taxonomy code: 207YX0905X , with the licence number:  159722 , 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: N30270 . This is a "PHS HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0024173 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NS434 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 35D111 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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