Provider Demographics
NPI:1891834180
Name:DAVID H FIELDS MD PC
Entity Type:Organization
Organization Name:DAVID H FIELDS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-249-4700
Mailing Address - Street 1:888 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0235
Mailing Address - Country:US
Mailing Address - Phone:212-249-4700
Mailing Address - Fax:212-249-5688
Practice Address - Street 1:888 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0235
Practice Address - Country:US
Practice Address - Phone:212-249-4700
Practice Address - Fax:212-249-5688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120878207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C08735Medicare UPIN
NY339331Medicare ID - Type UnspecifiedTERMINATED IN MARCH 2006