Provider Demographics
NPI:1114104072
Name:BEHAR, DAVID J (LAC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:BEHAR
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 BOULEVARD E
Mailing Address - Street 2:APT 2
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6811
Mailing Address - Country:US
Mailing Address - Phone:201-951-4588
Mailing Address - Fax:
Practice Address - Street 1:45 E 33RD ST
Practice Address - Street 2:SUITE 604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5336
Practice Address - Country:US
Practice Address - Phone:201-951-4588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003736171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist