Provider Demographics
NPI:1386677706
Name:PINHAS, DAVID J (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:PINHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2148 OCEAN AVE
Mailing Address - Street 2:SUITE 603
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1406
Mailing Address - Country:US
Mailing Address - Phone:718-339-5100
Mailing Address - Fax:718-339-2648
Practice Address - Street 1:2148 OCEAN AVE
Practice Address - Street 2:SUITE 603
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1406
Practice Address - Country:US
Practice Address - Phone:718-339-5100
Practice Address - Fax:718-339-2648
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY198042207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01567702Medicaid
A400019855Medicare PIN
NYF99110Medicare UPIN
NY01567702Medicaid
NY60J871Medicare ID - Type Unspecified
NYW32691Medicare ID - Type UnspecifiedGROUP
NY60J8732691Medicare PIN