Provider Demographics
NPI:1821221359
Name:DAVID JOSEPH PINHAS MD PC
Entity Type:Organization
Organization Name:DAVID JOSEPH PINHAS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-339-5100
Mailing Address - Street 1:2118 CONEY ISLAND AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2347
Mailing Address - Country:US
Mailing Address - Phone:718-339-5100
Mailing Address - Fax:718-339-2648
Practice Address - Street 1:2118 CONEY ISLAND AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2347
Practice Address - Country:US
Practice Address - Phone:718-339-5100
Practice Address - Fax:718-339-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198042207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A100019854Medicare PIN