| Jonathan David, Md, Pc | |
| 
					136 Sagamore Rd Tuckahoe NY 10707-4009  | |
| (914) 337-6400 | |
| (914) 337-8109 | 
| Full Name | Jonathan David, Md, Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 136 Sagamore Rd, Tuckahoe, New York | 
| Authorized Official Name and Position | Jonathan David (PRESIDENT) | 
| Authorized Official Contact | 9143376400 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jonathan David, Md, Pc 136 Sagamore Rd Tuckahoe NY 10707-4009 Ph: (914) 337-6400  | Jonathan David, Md, Pc 136 Sagamore Rd Tuckahoe NY 10707-4009 Ph: (914) 337-6400  | 
| NPI Number | 1336144104 | 
|---|---|
| Provider Enumeration Date | 06/16/2005 | 
| Last Update Date | 07/28/2010 | 
| Medicare PECOS PAC ID | 7214840560 | 
|---|---|
| Medicare Enrollment ID | O20031112000045 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336144104 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 178695 (New York) | Primary | 
| Provider Name | Jonathan David | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1922004241 PECOS PAC ID: 9537072764 Enrollment ID: I20031114000249  | 
| Provider Name | Renuka Bankulla | 
|---|---|
| Provider Type | Practitioner - Anesthesiology | 
| Provider Identifiers | NPI Number: 1205819869 PECOS PAC ID: 8729074489 Enrollment ID: I20040420001777  | 
Parkway Medical Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elm St, Tuckahoe, NY 10707 Phone: 914-337-0606 Fax: 914-337-6778  |