Provider Demographics
NPI:1477534923
Name:ADLER, DAVID HENRY (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HENRY
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE BOX 655
Mailing Address - Street 2:URMC DEPT OF EMERGENCY MEDICINE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-273-3863
Mailing Address - Fax:585-473-3516
Practice Address - Street 1:601 ELMWOOD AVE BOX 655
Practice Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-273-3863
Practice Address - Fax:585-473-3516
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71479207P00000X
NY239672207P00000X
NY2396721207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H56573Medicare UPIN
NYRB5057Medicare PIN