Provider Demographics
NPI:1083726178
Name:LINKER, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:LINKER
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 1:200 WEST CRAVER ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-421-0020
Mailing Address - Fax:631-421-5991
Practice Address - Street 1:200 WEST CRAVER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-421-0020
Practice Address - Fax:631-421-5991
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DL050S810OtherBCBS
NY02362292Medicaid
397829OtherCONNECTICARE
CIGNAOther112234962
060OtherNEW YORK MEDICAID SPECIAL
2211282OtherUNITED
4C3280OtherCARECORE
LD8245OtherATLANTAS
CIMOtherWCB RATING CODE
218245OtherMEDICAL LICENCE NUMBER
218245OtherSTATE
218245OtherHIP
P00040486OtherRRMC
003OtherNYMCDLC
P2668478OtherOXFORD
VYTRAOther142578
VYTRAOther142578
CIGNAOther112234962
218245OtherHIP
DL050S810OtherBCBS