Provider Demographics
NPI:1366819468
Name:COMPANIONI, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:COMPANIONI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 CONCOURSE VLG E APT 2D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3708
Mailing Address - Country:US
Mailing Address - Phone:347-819-3464
Mailing Address - Fax:
Practice Address - Street 1:779 CONCOURSE VLG E APT 2D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3708
Practice Address - Country:US
Practice Address - Phone:347-819-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244991164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse