Provider Demographics
NPI:1295036036
Name:DAVID H SLAVIT MD PC
Entity Type:Organization
Organization Name:DAVID H SLAVIT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HAL
Authorized Official - Last Name:SLAVIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-517-9177
Mailing Address - Street 1:787 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3552
Mailing Address - Country:US
Mailing Address - Phone:212-517-9177
Mailing Address - Fax:212-517-9109
Practice Address - Street 1:787 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3552
Practice Address - Country:US
Practice Address - Phone:212-517-9177
Practice Address - Fax:212-517-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185825207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty