Provider Demographics
NPI:1649567900
Name:ALTSCHUL, DAVID JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOSEPH
Last Name:ALTSCHUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 ROCHAMBEAU AVE
Mailing Address - Street 2:DEPARTMENT OF NEUROSURGERY
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2841
Mailing Address - Country:US
Mailing Address - Phone:718-920-6553
Mailing Address - Fax:
Practice Address - Street 1:3316 ROCHAMBEAU AVE
Practice Address - Street 2:DEPARTMENT OF NEUROSURGERY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2841
Practice Address - Country:US
Practice Address - Phone:718-920-6553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program