Conway, David
Conway, David is an individual health care provider with primary practice located at 10 Medical Dr Suite B, Port Jefferson Station NY 11776-1590. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Conway, David can be contacted via phone (631) 474-1111.Contact Information
Primary practice address
10 Medical Dr Suite B
Port Jefferson Station NY 11776-1590
Phone: (631) 474-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 017130-1 | New York |
Profile Details
| NPI number | 1164850004 |
|---|---|
| LBN Legal business name | Conway, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2013 |
| Last updated | Oct 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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