| 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 |