Provider Demographics
NPI:1114051158
Name:DAVID S. LUDWIG, M.D., P.C.
Entity Type:Organization
Organization Name:DAVID S. LUDWIG, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-472-8019
Mailing Address - Street 1:20 E 74TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2654
Mailing Address - Country:US
Mailing Address - Phone:212-472-8019
Mailing Address - Fax:212-472-2705
Practice Address - Street 1:20 E 74TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2654
Practice Address - Country:US
Practice Address - Phone:212-472-8019
Practice Address - Fax:212-472-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1432182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2152996OtherOXFORD PROVIDER #
168924OtherMHN PROVIDER #
4278150OtherAETNA PROVIDER #
143214OtherHIP PROVIDER #