Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 222699 | NY |
N | 111NI0900X | Internist | 222699 | NY |
Y | 207SG0201X | Clinical Genetics (M.D.) | 222699 | NY |
NPI | 1295713782 |
---|---|
Provider Name | Dr. David Harrison Tegay |
First Address | Old Westbury, NY 11568-8000 |
Second Address | Old Westbury, NY 11568-8000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02359731 | (05) | NY |
H64845 | (02) |