Provider Demographics
NPI:1003973777
Name:AGUILAR, DAVID J (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:AGUILAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:45 RESEARCH WAY SUITE 206
Mailing Address - Street 2:DOWNTOWN BRONX MEDICAL ASSOCIATES
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:718-924-2329
Mailing Address - Fax:631-675-9300
Practice Address - Street 1:234 E 149TH STREET
Practice Address - Street 2:LINCOLN MEDICAL & MENTAL HEALTH HOSPITAL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-6000
Practice Address - Fax:718-579-5027
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY244310207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02175597Medicaid