Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 274758 | NY |
N | 207L00000X | Anesthesiologist | DR.0058931 | CO |
NPI | 1013283811 |
---|---|
Provider Name | Dr. David Wade Tunick |
First Address | New York, NY 10087-5024 |
Second Address | New York, NY 10029-6504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 08/11/2017 |