Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 040656 | NY |
NPI | 1154452654 |
---|---|
Provider Name | Dr. David R Scharf |
First Address | Babylon, NY 11702-3525 |
Second Address | Babylon, NY 11702-3525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |