Provider Demographics
NPI:1174683213
Name:GODFRIED, DAVID HARRIS (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HARRIS
Last Name:GODFRIED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 E 17TH ST
Mailing Address - Street 2:400D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3804
Mailing Address - Country:US
Mailing Address - Phone:212-598-6624
Mailing Address - Fax:646-754-7749
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5312
Practice Address - Country:US
Practice Address - Phone:516-439-4766
Practice Address - Fax:516-750-9041
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2017-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY226281207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery