Provider Demographics
NPI:1710393087
Name:DAVID L GLOBUS MD PC
Entity Type:Organization
Organization Name:DAVID L GLOBUS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:GLOBUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-988-3838
Mailing Address - Street 1:340 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4768
Mailing Address - Country:US
Mailing Address - Phone:212-988-3838
Mailing Address - Fax:
Practice Address - Street 1:340 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4768
Practice Address - Country:US
Practice Address - Phone:212-988-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084752207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB10451Medicare UPIN