Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 230739 | NY |
Y | 111NI0900X | Internist | 230739 | NY |
N | 207RC0200X | Critical Care Medicine | 230739 | NY |
N | 207RP1001X | Pulmonary Disease | 230739 | NY |
NPI | 1013116839 |
---|---|
Provider Name | Dr. David Jonathan Chafiian |
First Address | Great Neck, NY 11023-2140 |
Second Address | Brooklyn, NY 11229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 23/07/2019 |