Provider Demographics
NPI:1295713782
Name:TEGAY, DAVID HARRISON (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARRISON
Last Name:TEGAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2301
Mailing Address - Country:US
Mailing Address - Phone:631-793-7228
Mailing Address - Fax:
Practice Address - Street 1:3 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2301
Practice Address - Country:US
Practice Address - Phone:631-793-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222699207SG0201X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02359731Medicaid
H64845Medicare UPIN
NY065AL1Medicare ID - Type Unspecified