Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 199931 | NY |
N | 208000000X | Pediatrician | 199931 | NY |
Y | 2080P0203X | Pediatric Critical Care Doctor | 199931 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 199931 | NY |
NPI | 1093781726 |
---|---|
Provider Name | Dr. David S Markenson |
First Address | New Rochelle, NY 10804 |
Second Address | Valhalla, NY 10595-1646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 14/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01769488 | (05) | NY |
G55640 | (02) |