David, Jose M.

David, Jose M. is an individual health care provider with primary practice located at 1 Alton Rd , Albany NY 12203-4253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. David, Jose M. can be contacted via phone (518) 456-4634.

Contact Information

Primary practice address
1 Alton Rd Albany NY 12203-4253
Phone: (518) 456-4634
Fax: (518) 874-0647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 179838 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 179838 New York

Profile Details

NPI number 1831181981
LBN Legal business name David, Jose M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 9th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831181981 NPPES
New York MEDICAID 01270268

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