Provider Demographics
NPI:1174504120
Name:OST, DAVID EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EDWARD
Last Name:OST
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 1:420 E 64TH ST
Mailing Address - Street 2:APT W10J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7853
Mailing Address - Country:US
Mailing Address - Phone:212-888-2131
Mailing Address - Fax:
Practice Address - Street 1:420 E 64TH ST
Practice Address - Street 2:APT W10J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7853
Practice Address - Country:US
Practice Address - Phone:212-888-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203177207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF67480Medicare UPIN