Eagle, David B

Eagle, David B is an individual health care provider with primary practice located at 731 White Plains Rd , Bronx NY 10473-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eagle, David B can be contacted via phone (718) 589-8324.

Contact Information

Primary practice address
731 White Plains Rd Bronx NY 10473-2631
Fax: (718) 378-2880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 122690 New York

Profile Details

NPI number 1245225200
LBN Legal business name Eagle, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Aug 13th, 2007 - about 19 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 1245225200 NPPES
New York MEDICAID 00665274

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