Provider Demographics
NPI:1033176813
Name:GUNSBURG, DAVID ZVI E (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ZVI E
Last Name:GUNSBURG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROOKDALE PLAZA ROOM 360 SNAPPER
Mailing Address - Street 2:THE BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-5769
Mailing Address - Fax:718-240-8184
Practice Address - Street 1:1 BROOKDALE PLAZA ROOM 360 SNAPPER
Practice Address - Street 2:THE BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-5769
Practice Address - Fax:718-240-8184
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187347207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01584918Medicaid
F26205Medicare UPIN
NY220672Medicare ID - Type Unspecified