Provider Demographics
NPI:1083642631
Name:YORK, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:YORK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:219 CAPITOL ST
Mailing Address - Street 2:STE 2
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6235
Mailing Address - Country:US
Mailing Address - Phone:207-629-5005
Mailing Address - Fax:207-629-5220
Practice Address - Street 1:219 CAPITOL ST
Practice Address - Street 2:STE 2
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6235
Practice Address - Country:US
Practice Address - Phone:207-629-5005
Practice Address - Fax:207-629-5220
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2010-02-11
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Provider Licenses
StateLicense IDTaxonomies
NC2004-01357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900934Medicaid
NC5900934Medicaid
NCS99564Medicare UPIN
ME001400201Medicare UPIN
ME0010325Medicare PIN