Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 272914 | NY |
N | 111NI0900X | Internist | 272914 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 272914 | NY |
NPI | 1992083885 |
---|---|
Provider Name | Dr. David Samson Dayan-Rosenman |
First Address | Bronx, NY 10459-3913 |
Second Address | Brooklyn, NY 11242-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2011 |
Last Update Date | 02/01/2020 |