Provider Demographics
NPI:1003994971
Name:HOWARD, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HOWARD
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 1:300 E 33RD ST
Mailing Address - Street 2:APT 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9463
Mailing Address - Country:US
Mailing Address - Phone:212-679-5583
Mailing Address - Fax:
Practice Address - Street 1:300 E 33RD ST
Practice Address - Street 2:APT 2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9463
Practice Address - Country:US
Practice Address - Phone:212-679-5583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128341207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE06926Medicare UPIN