Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 228763 | NY |
NPI | 1053343020 |
---|---|
Provider Name | Dr. David Daniel Manevitz |
First Address | Roslyn Heights, NY 11577-2429 |
Second Address | Glen Cove, NY 11542-2855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 21/07/2009 |